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What causes pain under left shoulder blade with history of aortic valve replacement?

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Posted on Thu, 12 May 2016
Question: For the last 36 hours, I have had a pain, close to the skin running from my left nipple to a spot right under my left shoulder blade.
I am a 75 yo male, who had an aortic valve replacement in October 2013. I have no fever, but feel a little off par like I had a light flu. I have made an appointment to see a cardiologue next Monday March 7th
I took both the flu shot and the pulmonary shot in the fall of 2015.
Height 5'5" and 140 lbs in birth suit.
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Answered by Dr. Ilir Sharka (55 minutes later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

I understand your concern and would explain that it is important performing a comprehensive differential diagnosis of different causes that may lead to this symptomatology:

- Inflammation and a musculo-skeletal issue. Is this pain modulated by respiration or body movements? This would be indicative of a musculo-skeletal pain. A chest X ray study, complete blood count and inflammation tests would be necessary to rule in/out this possible cause.

- A lung infection or pleuritis (inflammation of the layers covering the lungs). The above mentioned tests would also help exclude this possibility.

- Your past medical history of aortic valve displacement is a little concerning. Although these symptoms are not typical of myocardial ischemia or any other disorders affecting the aorta, it is necessary performing some cardiac tests:

a- a resting ECG and cardiac enzymes
b- a cardiac ultrasound to examine the cardiac structure
c- a cardiac stress test would be necessary if suspicions of possible myocardial ischemia would be raised.

I recommend discussing with your attending physician on the above issues.

Hope you will find this answer helpful!

Kind regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 8356 Questions

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What causes pain under left shoulder blade with history of aortic valve replacement?

Brief Answer: I would explain as follows: Detailed Answer: Hello! Welcome and thank you for asking on HCM! I understand your concern and would explain that it is important performing a comprehensive differential diagnosis of different causes that may lead to this symptomatology: - Inflammation and a musculo-skeletal issue. Is this pain modulated by respiration or body movements? This would be indicative of a musculo-skeletal pain. A chest X ray study, complete blood count and inflammation tests would be necessary to rule in/out this possible cause. - A lung infection or pleuritis (inflammation of the layers covering the lungs). The above mentioned tests would also help exclude this possibility. - Your past medical history of aortic valve displacement is a little concerning. Although these symptoms are not typical of myocardial ischemia or any other disorders affecting the aorta, it is necessary performing some cardiac tests: a- a resting ECG and cardiac enzymes b- a cardiac ultrasound to examine the cardiac structure c- a cardiac stress test would be necessary if suspicions of possible myocardial ischemia would be raised. I recommend discussing with your attending physician on the above issues. Hope you will find this answer helpful! Kind regards, Dr. Iliri