https://doi.org/10.4081/monaldi.2023.2713
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
Accepted: August 15, 2023
Abstract Views: 347
PDF: 39
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
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.
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.
Copyright (c) 2023 The Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Elio Gorga, Marta Scodro, Francesca Valentini, Renzo D'Ortona, Mariachiara Arisi, Edoardo Sciatti, Ivano Bonadei, Valentina Regazzoni, Enrico Vizzardi, Marco Metra, Piergiacomo Calzavara Pinton, Echocardiographic evaluation of diastolic dysfunction in young and healthy patients with psoriasis: A case-control study , Monaldi Archives for Chest Disease: Vol. 88 No. 3 (2018)
- Achille Pulcino, Chiara Sordelli, Gennaro Ismeno, Francesco Paolo Tritto, Paolo Golino, Luigi Piazza, A case of quadricuspid aortic valve characterized by echocardiography and magnetic resonance imaging , Monaldi Archives for Chest Disease: Vol. 76 No. 3 (2011): Cardiac series
- Rodolfo Citro, Angelo Silverio, Roberto Ascoli, Antonio Longobardi, Eduardo Bossone, Giuseppe Di Benedetto, Federico Piscione, Anterior mitral valve aneurysm perforation in a patient with preexisting aortic regurgitation , Monaldi Archives for Chest Disease: Vol. 78 No. 4 (2012): Cardiac series
- Davide Zampieri, Alessandro Pangoni, Giuseppe Marulli, Federico Rea, Acquired tracheoesophageal fistula repair, due to prolonged mechanical ventilation, in patient with double incomplete aortic arch , Monaldi Archives for Chest Disease: Vol. 88 No. 3 (2018)
- Roberto Violini, Alberta Cifarelli, Francesco De Felice, Diana Chin, Treatment of mitral regurgitation , Monaldi Archives for Chest Disease: Vol. 87 No. 2 (2017)
- Rodolfo Citro, Antonello Panza, Paolo Masiello, Amelia Ravera, Lucia Tedesco, Rocco Leone, Marco Mirra, Roberta Giudice, Severino Iesu, Francesco Silvestri, Giuseppe Di Benedetto, Eduardo Bossone, Intramural aortic hematoma: no flap no warning? , Monaldi Archives for Chest Disease: Vol. 76 No. 1 (2011): Cardiac series
- Hussein Soleimantabar, Sofia Sabouri, Leila Khedmat, Samira Salajeghe, Behzad Memari, Bahareh Heshmat Ghahderijani, Assessment of CT angiographic findings in comparison with echocardiography findings of chest among patients with aortic arch anomalies , Monaldi Archives for Chest Disease: Vol. 89 No. 3 (2019)
- Gabriella Malfatto, Paola Cuoccio, Caterina Bizzi, Giovanna Branzi, Alessandra Villani, Francesco Della Rosa, Gianfranco Parati, Mario Facchini, What underlies NYHA class in elderly patients with heart failure? role of diastolic dysfunction, functional mitral regurgitation and abnormal ventilation during exercise , Monaldi Archives for Chest Disease: Vol. 72 No. 2 (2009): Cardiac series
- Enrico Vizzardi, Edoardo Sciatti, Ivano Bonadei, Natalia L. Pezzali, Carlo M. Lombardi, Marco Metra, Red cell distribution width and chronic heart failure: prognostic role beyond echocardiographic parameters , Monaldi Archives for Chest Disease: Vol. 84 No. 1-2 (2015): Cardiac series
- Maria Teresa Manes, D. Pavan, M. Chiatto, Oscar Serafini, G. Meringolo, A. Buffon, Isolated congenital coronary fistula in adult population: discussion a clinical case and review of current literature , Monaldi Archives for Chest Disease: Vol. 68 No. 4 (2007): Cardiac series
You may also start an advanced similarity search for this article.
