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[In dubio pro malum - a clinical case to reflect].

Diogo Rijo1, Filipe Carneiro1, Marlene Fonseca1

  • 1Serviço de Cirurgia Cardiotorácica do Centro Hospitalar de Vila Nova de Gaia/Espinho, Portugal.

Revista Portuguesa De Cirurgia Cardio-Toracica E Vascular : Orgao Oficial Da Sociedade Portuguesa De Cirurgia Cardio-Toracica E Vascular
|October 15, 2018
PubMed
Summary
This summary is machine-generated.

Managing patients with both cardiac and suspected oncologic conditions presents significant complexity. This case highlights the challenges in diagnosing and treating severe aortic stenosis when cancer is also suspected, emphasizing patient-centered decision-making.

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Area of Science:

  • Cardiology
  • Oncology
  • Cardiothoracic Surgery

Background:

  • Patients with cardiac conditions are complex; adding oncologic pathology increases complexity.
  • Co-existing severe aortic stenosis and suspected cancer poses diagnostic and therapeutic challenges.

Purpose of the Study:

  • To present a clinical case of a patient with severe aortic stenosis and suspected cancer.
  • To discuss the diagnostic and surgical decision-making complexities in such cases.

Main Methods:

  • Clinical case presentation.
  • Review of diagnostic challenges due to patient's clinical status.
  • Discussion of surgical intervention debates among specialists.

Main Results:

  • Diagnostic studies were not feasible due to the patient's critical condition.
  • Surgical intervention was debated, lacking consensus among surgeons.

Conclusions:

  • Decision-making for surgical intervention in complex cardiac and suspected oncologic cases is challenging.
  • The principle of 'in dubio pro malum' (in doubt, for the patient) should guide decisions.