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
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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.
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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.
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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.
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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)
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