Alkaptonuric ochronosis is a rare cause of aortic valve stenosis. We report the case of a 61-year-old female patient with alkaptonuria who presented to our institute with the clinical picture of severe aortic valve stenosis, which was confirmed by transthoracic echocardiography. On aortotomy, she was noted to have an impressive black discoloration of ascending aorta and the aortic root complex involving the aortic valve leaflets. She underwent an uneventful aortic valve replacement. She was discharged home 10 days postoperatively.
HelliwellTRGallagherJARanganathL.Alkaptonuria: a review of surgical and autopsy pathology. Histopathology. 2008;53:503-512.
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ErekECasselmanFVanermenH.Cardiac ochronosis: valvular heart disease with dark green discoloration of the leaflets. Tex Heart Inst J. 2004;31:445-447.
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BachDSRadevaJIBirnbaumHGFournierAATuttleEG.Prevalence, referral patterns, testing, and surgery in aortic valve disease: leaving women and elderly patients behind?J Heart Valve Dis. 2007;16:362-369.