Acute Aortic Insufficiency due to Rupture of an Aortic Valve Commissure

Kassem, Samer; Polvani, Gianluca; Jaber, Emad Al; Gennari, Marco

doi:10.1111/jocs.12276

Cited by 4 publications

(2 citation statements)

References 5 publications

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“…Our case is one of the few cases reported in the literature. Pathologic examination confirmed myxoid degeneration which predisposed to cusp perforation [8]. Myxomatous degeneration macroscopically results in a thin region in each leaflet microscopically due to ongoing substitution of the collagen by mucopolysaccharides in the spongiosa leading to progressive weakness of the band [8].…”

Section: Discussionmentioning

confidence: 97%

Isolated Perforation of Left Coronary Cusp After Blunt Chest Trauma

Maini

Dadu

Cunningham

et al. 2015

Journal of the American College of Cardiology

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Section: Discussionmentioning

confidence: 97%

Isolated Perforation of Left Coronary Cusp After Blunt Chest Trauma

Maini

Dadu

Cunningham

et al. 2015

Journal of the American College of Cardiology

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“…However, in some cases, AR from blunt chest trauma can worsen gradually, taking patients up to 10 years or longer to become symptomatic [4]. It is reported that late-presenting patients may originally have had a small, clinically insignificant tear in one of the leaflets that gradually progressed with time as a result of hemodynamic stress [6]. Thus, it is important to confirm if a patient has a history of blunt chest trauma when they present with severe AR of unknown origin.…”

mentioning

confidence: 99%

Delayed Aortic Valve Perforation Caused by Blunt Trauma

et al. 2023

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Traumatic aortic regurgitation (AR) is a rare complication of blunt chest trauma. We described the case of a 35-year-old male who presented to our hospital with shortness of breath 7 years after sustaining blunt chest trauma associated with a motorcycle accident. Transthoracic and transesophageal echocardiogram detected severe AR with two separate jets. The patient was diagnosed with congestive heart failure due to severe AR, and surgical aortic valve replacement was performed. A large perforation of the right coronary cusp likely sustained during the initial blunt chest trauma injury was confirmed surgically. As AR caused by blunt chest trauma can gradually worsen, it is necessary to confirm if there is a history of trauma in patients with severe AR of unknown origin.

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Asymptomatic chronic traumatic aortic valve perforation with severe aortic regurgitation

et al. 2020

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Here, we present a young asymptomatic male patient incidentally diagnosed to have aortic regurgitation (AR). The patient had a history of a blunt trauma to the thorax two years back but did never have any symptoms. Transthoracic echocardiography showed a moderately dilated left ventricle with normal systolic function and severe AR with normal nondilated aortic root and tri‐leaflet aortic valve. To diagnose the etiology of the AR, a transesophageal echocardiogram (TEE) was done, which revealed a perforation in the nonadjacent leaflet (NAL) and confirmed severe AR with two AR jets being clearly visualized, one through the point of incomplete coaptation and other one through the perforated area in the NAL. The patient was treated with aortic valve replacement and was doing well on follow‐up.

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Acute Aortic Insufficiency due to Rupture of an Aortic Valve Commissure

Cited by 4 publications

References 5 publications

Isolated Perforation of Left Coronary Cusp After Blunt Chest Trauma

Isolated Perforation of Left Coronary Cusp After Blunt Chest Trauma

Delayed Aortic Valve Perforation Caused by Blunt Trauma

Asymptomatic chronic traumatic aortic valve perforation with severe aortic regurgitation

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