Abstract
Fibrous strand rupture in a fenestrated aortic valve can cause acute severe aortic regurgitation. We report the case of a 56-year-old woman with severe aortic regurgitation. Transesophageal echocardiography showed an abnormal fibrous strand echo on the prolapsed left coronary cusp (LCC). The operative finding revealed one ruptured fibrous strand attached to the LCC at the commissure between the left and noncoronary cusps. Pathologic examination of the aortic valve revealed myxomatous degeneration.
Similar content being viewed by others
References
Vaideeswar P, Deshpande JR. Congenital aortic regurgitation due to aortic valvular fenestration with associated aortic dissection. J Postgrad Med. 2003;49:369.
Akiyama K, Hirota J, Taniyasu N, et al. Pathogenetic significance of myxomatous degeneration in fenestration-related massive aortic regurgitation. Circ J. 2004;68:439–43.
Kaplan J, Farb A, Carliner NH, et al. Large aortic valve fenestrations producing chronic aortic regurgitation. Am Heart J. 1991;122:1475–7.
Akiyama K, Ohsawa S, Hirota J, et al. Massive aortic regurgitation by spontaneous rupture of a fibrous strand in a fenestrated aortic valve. J Heart Valve Dis. 1998;7:521–3.
Bourgault C, Couture C, Martineau A, et al. Incidental mobile aortic valve lesion: a case of aortic valve fenestration. J Heart Valve Dis. 2007;16:692–4.
Conflict of interest
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Akasaka, K., Saito, E., Higuchi, T. et al. Aortic regurgitation caused by fibrous strand rupture in a fenestrated aortic valve. J Echocardiogr 10, 151–153 (2012). https://doi.org/10.1007/s12574-012-0148-7
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12574-012-0148-7