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

Ophuis, Bob; Lexis, Chris P. H.; Wieringa, Wouter G.; Douglas, Yvonne L.; Willemsen, Marco W; Akker, J.W. op den; Krikken, Jan A.

doi:10.1016/j.case.2021.07.006

Cited by 2 publications

(1 citation statement)

References 12 publications

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“…The following search terms were used: “acute aortic regurgitation”. Among them, the case reports of acute AR were summarized ( Table ) ( 5 - 30 ). Type A aortic dissection, infective endocarditis, trauma, fibrous strand rupture of aortic valve, and iatrogenicity have been reported as causes of acute AR.…”

Section: Discussionmentioning

confidence: 99%

Subendocardial Ischemia Caused by Acute Severe Aortic Regurgitation Due to Aortic Root Dissection: A Case Report and Literature Review

et al. 2023

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Electrocardiogram (ECG) findings showing ST-segment depression in a wide range of leads and STsegment elevation in aVR are found in patients with acute coronary syndrome with multivessel coronary lesions and left main trunk lesions. A 64-year-old man with a history of eosinophilic granulomatosis presented with chest pain and dyspnea. Although an ECG showed the above findings, he was diagnosed with acute severe aortic regurgitation (AR) complicating aortic root dissection and successfully underwent urgent Bentall operation. These ECG findings indicated that acute severe AR caused subendocardial ischemia.

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Section: Discussionmentioning

confidence: 99%

Subendocardial Ischemia Caused by Acute Severe Aortic Regurgitation Due to Aortic Root Dissection: A Case Report and Literature Review

et al. 2023

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The extremely rare case of aortic chordae tendineae strands: A case report with literature review

Khansari,

Salehi

2023

Clinical Case Reports

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Key Clinical MessageThe aortic chordae tendineae strands (ACTS) is a rare complication that can induce aortic regurgitation. Reported cases of ACTS are very few, and this is the first case reported in Iran. Patients with unexplained aortic regurgitation should be carefully evaluated for ACTS, which can be easily observed by TEE; a decision regarding aortic valve surgery should be made based on the severity of AR. Herein we reported A 64‐year‐old male was admitted to our hospital for dyspnea on exertion. In transthoracic Echocardiography a fibrous band‐like chordae in the aortic root attached to the noncoronary cusp of the aorta was seen, which caused retraction of the noncoronary cusp, mal‐coaptation of the aortic valves, and severe eccentric jet posterior directed aortic regurgitation. As a result of the ACTS, the patient was diagnosed with severe aortic regurgitation (AR); due to the symptomatic severe AR, the patient underwent aortic valve surgical replacement.

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

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Cited by 2 publications

References 12 publications

Subendocardial Ischemia Caused by Acute Severe Aortic Regurgitation Due to Aortic Root Dissection: A Case Report and Literature Review

Subendocardial Ischemia Caused by Acute Severe Aortic Regurgitation Due to Aortic Root Dissection: A Case Report and Literature Review

The extremely rare case of aortic chordae tendineae strands: A case report with literature review

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