COMBINED AORTIC-VALVE REPLACEMENT AND LEFT-VENTRICULAR ANEURYSM PLICATION IN SYSTEMIC LUPUS-ERYTHEMATOSUS

The case of a 37-year-old female patient is reported with systemic lup us erythematosus and severe renal function impairment, and associated aortic insufficiency, obstructive coronary disease and aneurysm of the left ventricular inferior free wall. Renal failure, hematologic disor der and the need for high-dose steroid therapy to control the autoimmu ne disease were considered the main surgical risks, Surgery included a ortic valve replacement and plication of the ventricular aneurysm. The postoperative course was free of any major complications related to s urgery or SLE disease.