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Case Reports
. 2021 Aug 12;5(5):335-339.
doi: 10.1016/j.case.2021.07.006. eCollection 2021 Oct.

A Rare Cause of Cardiogenic Shock: A Case Report of Aortic Regurgitation due to Rupture of a Fibrous Strand Suspending a Tricuspid Aortic Valve

Bob Ophuis  1 , Chris P H Lexis  1 , Wouter G Wieringa  1 , Yvonne L Douglas  2 , Marco W Willemsen  1 , Jeroen W Op den Akker  3 , Jan A Krikken  1
Affiliations
Case Reports

A Rare Cause of Cardiogenic Shock: A Case Report of Aortic Regurgitation due to Rupture of a Fibrous Strand Suspending a Tricuspid Aortic Valve

Bob Ophuis et al. CASE (Phila). .
No abstract available

Keywords: Acute aortic regurgitation; Fibrous strand rupture; Transesophageal echocardiography.

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Figures

None
Graphical abstract
Figure 1
Figure 1
Electrocardiogram recorded at presentation. Sinus rhythm with frequent premature atrial complexes: ST-segment elevation is present in leads I and aVL, and ST-segment depression is present in leads II, III, aVF, and V2-V6.
Figure 2
Figure 2
Three-dimensional TEE. (A) Systolic phase and (B) early diastolic phase showing the ruptured strand (∗) and flail of the RCC. Ao, Aorta; AoV, aortic valve; LVOT, left ventricular outflow tract.
Figure 3
Figure 3
CT scan with arterial contrast enhancement showing the remnant of a fibrous strand at the free wall of the ascending aorta (yellow arrow). Ao, Aorta; AoV, aortic valve; LV, left ventricle.
Figure 4
Figure 4
Three-dimensional CT scan showing the remnant of a fibrous strand (yellow arrow) and its former trajectory toward the aortic valve (yellow dotted line). Ao, Aorta.
Figure 5
Figure 5
Schematic reconstruction of the fibrous strand and its trajectory. Originating at the aortic wall (sinotubular junction) and inserting at the NCC/RCC commissure of the aortic valve. Ao, Aorta; LVOT, left ventricular outflow tract. This figure was produced using images modified from Servier Medical Art (www.servier.com, licensed under a Creative Commons Attribution 3.0 Unported license).
See this image and copyright information in PMC

References

    1. Roberts W.C., Ko J.M., Moore T.R., Jones W.H. Causes of pure aortic regurgitation in patients having isolated aortic valve replacement at a single US tertiary hospital (1993 to 2005) Circulation. 2006;114:422–429. - PubMed
    1. Baumgartner H., Falk V., Bax J.J., De Bonis M., Hamm C., Holm P.J. 2017 ESC/EACTS guidelines for the management of valvular heart disease. Eur Heart J. 2017;38:2739–2786. - PubMed
    1. Prêtre R., Faidutti B. Surgical management of aortic valve injury after nonpenetrating trauma. Ann Thorac Surg. 1993;56:1426–1431. - PubMed
    1. Dall’Ara G., Saia F., Moretti C., Marrozzini C., Taglieri N., Bordoni B. Incidence, treatment, and outcome of acute aortic valve regurgitation complicating percutaneous balloon aortic valvuloplasty. Catheter Cardiovasc Interv. 2017;89:E145–E152. - PubMed
    1. Blaszyk H., Witkiewicz A.K., Edwards W.D. Acute aortic regurgitation due to spontaneous rupture of a fenestrated cusp: report in a 65-year-old man and review of seven additional cases. Cardiovasc Pathol. 1999;8:213–216. - PubMed

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