Unusual case of severe aortic regurgitation in a child with bicuspid aortic valve

Submitted: July 15, 2023
Accepted: August 15, 2023
Published: September 6, 2023
Abstract Views: 359
PDF: 41
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Aortic regurgitation (AR) is common after aortic balloon valvuloplasty in children, and it has been associated with large balloon/annulus ratio, abnormal valve morphology, and aortic valve prolapse. We present a rare case of severe AR after aortic balloon valvuloplasty due to aortic strands rupture, causing prolapse of the co-joined cusp. These findings were identified by 3D echocardiography, highlighting the importance of this imaging technique even in pediatric patients.

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Citations

McElhinney DB, Lock JE, Keane JF, et al. Left heart growth, function, and reintervention after balloon aortic valvuloplasty for neonatal aortic stenosis. Circulation 2005;111:451-8.
Balmer C, Beghetti M, Fasnacht M, et al. Balloon aorticvalvoplasty in paediatric patients: progressive aortic regurgitation is common. Heart 2004;90:77-81.
Shaddy RE, Boucek MM, Sturtevant JE, et al. Gradient reduction, aortic valve regurgitation and prolapse after balloon aortic valvuloplasty in 32 consecutive patients with congenital aortic stenosis. J Am Coll Cardiol 1990;16:451-6.
Nakajima M, Tsuchiya K, Naito Y, et al. Aortic regurgitation caused by rupture of a well-balanced fibrous strand suspending a degenerative tricuspid aortic valve. J Thorac Cardiovasc Surg 2002;124:843-4.
Irisawa Y, Itatani K, Kitamura T, et al. Aortic regurgitation due to fibrous strand rupture in the fenestrated left coronary cusp of the tricuspid aortic valve. Int Heart J 2014;55:550-1.
Misawa Y, Hasegawa T, Oyama H, et al. Congenital bicuspid aortic valve with regurgitation- a rare case showing a fibrous band between the conjoined cusp and the ascending aorta. Nihon Kyobu Geka Gakkai Zasshi 1993;41:2156-9.
Foxe AN. Fenestrations of the semilunar valves. Am J Pathol 1929;5:179-82.
Friedman B, Hathaway BM. Fenestration of the semilunar cusps, and functional aortic and pulmonic valve insufficiency. Am J Med 1958;24:549-58.
Minami H, Asada T, Gan K, et al. Aortic regurgitation caused by rupture of the abnormal fibrous band between the aortic valve and aortic wall. Gen Thorac Cardiovasc Surg 2011;59:488-90.
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.
Ishige A, Uejima T, Kanmatsuse K, Endo M. Giant fenestration and fibrous strand rupture of aortic valve without massive regurgitation. J Cardiol Cases 2012;5:e163-5.
Sholler GF, Keane JF, Perry SB, et al. Balloon dilation of congenital aortic valve stenosis. Results and influence of technical and morphological features on outcome. Circulation 1988;78:351-60.

How to Cite

Avesani, Martina, Jolanda Sabatino, Domenico Sirico, and Giovanni Di Salvo. 2023. “Unusual Case of Severe Aortic Regurgitation in a Child With Bicuspid Aortic Valve”. Monaldi Archives for Chest Disease 94 (2). https://doi.org/10.4081/monaldi.2023.2713.

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