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: 335
PDF: 29
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
- G. Caramori, N. Calia, C. Pasquini, O. Arar, F. Ravenna, I. Guzzinati, A. Boniotti, L. Cavazzini, A. Ciaccia, G. Cavallesco, A. Papi, Ectopic thymoma simulating a pericardial cyst , Monaldi Archives for Chest Disease: Vol. 63 No. 4 (2005): Pulmonary series
- Fabrizio Scafa, Alessia Gallozzi, Giovanni Forni, Stefano M. Candura, Work resumption after invasive heart procedures, rehabilitation and ergonomic evaluation: from the hospital to the workplace , Monaldi Archives for Chest Disease: Vol. 94 No. 2 (2024)
- Matteo Pernigo, Elisabetta Dinatolo, Marco Cirillo, Zean Mhagna, Alida Filippini, Fabiana Cozza, Marco Berti, Roberto Bazzani, Tony Sabatini, Claudio Cuccia, Giovanni Troise, Finger ischemia in a young lady: an unusual presentation of papillary fibroelastoma with intraventricular location , Monaldi Archives for Chest Disease: Vol. 94 No. 1 (2024)
- Ricardo Alves Pinto, Catarina Amaral Marques, Tânia Proença, Miguel Martins Carvalho, Cristina Cruz, Filipe Macedo, The world upside down – after 20 years of follow-up of dextro-transposition of the great arteries , Monaldi Archives for Chest Disease: Vol. 94 No. 1 (2024)
- Fulvio Cacciapuoti, Erica Vetrano, Federico Cacciapuoti, Left atrial invasion of a lung cancer: a case report , Monaldi Archives for Chest Disease: Vol. 92 No. 3 (2022)
- Simone Pasquale Crispino, Andrea Segreti, Ylenia La Porta, Paola Liporace, Myriam Carpenito, Valeria Cammalleri, Francesco Grigioni, A sudden right-to-left shunt: the importance of evaluating patent foramen ovale during exercise , Monaldi Archives for Chest Disease: Vol. 94 No. 1 (2024)
- Fulvio Cacciapuoti, Ilaria Caso, Mario Crisci, Fabio Minicucci, Federico Cacciapuoti, An unexpected cause of chest pain, dyspnea and palpitations in a young patient during a post-COVID syndrome , Monaldi Archives for Chest Disease: Vol. 93 No. 3 (2023)
- Stefano Maffè, Paola Paffoni, Luca Bergamasco, Eleonora Prenna, Giulia Careri, Emanuela Facchini, Lara Baduena, Nicolò Franchetti Pardo, Pierfranco Dellavesa, A challenging pacemaker implantation in the presence of a giant right coronary aneurysm compressing the right atrium , Monaldi Archives for Chest Disease: Vol. 92 No. 2 (2022)
- Olga Vriz, Andrea Rossi Zadra, Abdalla Eltayeb , Fatima Asiri, Claudio Pragliola, Nader Fawzy, Domenico Galzerano, Khalid Feras, Zohair Alhalees, Abdulhalim J. Kinsara, Fadl Elmula Mohamed Fadl Elmula, Loss of engagement in controlling chronic anticoagulation therapy during Covid-19 stringency measures. A single center experience of disproportioned increase of stuck mechanical valves , Monaldi Archives for Chest Disease: Vol. 92 No. 2 (2022)
- Vito Maurizio Parato, Germana Gizzi, Simone D'Agostino, Simona Pelliccioni, Michele Scarano, An unusual case of severe left ventricle outflow tract obstruction due to a coexistence of Takotsubo cardiomyopathy with septal hypertrophic cardiomyopathy , Monaldi Archives for Chest Disease: Vol. 92 No. 3 (2022)
You may also start an advanced similarity search for this article.
