Abstract

SANCHEZ-ROMERO, Daniela M. et al. Acute coronary syndrome and mitral-aortic insufficiency in a patient with congenital rubella. Rev. Colomb. Cardiol. [online]. 2021, vol.28, n.3, pp.284-288.  Epub July 29, 2021. ISSN 0120-5633.  https://doi.org/10.24875/rccar.m21000054.

Rubella is an exanthematous disease that occurs in childhood. If it occurs during pregnancy and there is an effect on the product, it can develop congenital rubella syndrome. The congenital rubella syndrome includes cardiac malformations, which occur in 67% of patients, of which the most common is patent ductus arteriosus, followed by pulmonary valvular stenosis and atrial septal defect. We present the case of a 20-year-old man with a diagnosis of congenital rubella syndrome, presenting with congenital glaucoma, severe aortic insufficiency, severe mitral regurgitation and ischemic myocardial disease. In which a surgical procedure is performed by a coronary revascularization and mitral and aortic valve replacement. Studies found during the research process mention the damage to the blood vessels and myocardium produced by the virus. With the required data, the low incidence of presentation with coronary and valvular involvement is corroborated, which is why the importance of the present case is emphasized.

Keywords : Congenital rubella; Cardiac malformation; Ischemic myocardial disease; Mitral insufficiency; Aortic insufficiency.

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