Dilated myocardiopathy, thoracic aorta dissection, and hypothyroidism: report of a case

Keywords: Cardiomyopathy, Dilated, Aortic Dissection, Hypothyroidism

Abstract

Hypothyroidism produces profound cardiovascular effects, being a rare cause of dilated cardiomyopathy; however, its association with aortic dissection is not well established.

We report the case of a 48-year-old female patient, without comorbidities, who presented epigastric pain and dysphagia associated with dyspnea. Tomography revealed a Stanford type B aortic dissection, with severe dilatation of the left heart chambers; LVEF of 30% and pericardial effusion were observed on the echocardiography; and serum analysis showed TSH 157.6 uU/ml and FT4 0.10 ng/dL. The patient initiated treatment with bisoprolol 2.5mg/day, spironolactone 25mg/day, furosemide 40mg/day and levothyroxine 50ug/day. At her controls she manifested a decrease in her symptoms; and after 7 months, the echocardiography showed non-dilated chambers and LVEF of 58%, while TSH was 3.5uU/ml at the serum analysis. This case illustrates a rare event where three events as dilated cardiomyopathy, thoracic aortic dissection, and hypothyroidism concur.

 

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Published
2023-07-31
How to Cite
1.
León Burgos AL. Dilated myocardiopathy, thoracic aorta dissection, and hypothyroidism: report of a case. Acta Med Peru [Internet]. 2023Jul.31 [cited 2024Jul.19];40(2). Available from: https://amp.cmp.org.pe/index.php/AMP/article/view/2607
Section
CASE REPORTS