1/11. Valvuloplasty for aortic valve regurgitation resulting from cusp prolapse.Three adults, 2 with tricuspid aortic valve and 1 with bicuspid valve, underwent valvuloplasty for aortic valve regurgitation resulting from cusp prolapse. Surgical procedures consisted of combined cusp plication by triangular cusp resection and subcommissural annuloplasty. Doppler echocardiography revealed trivial aortic valve regurgitation intraoperatively and less than I/IV at discharge in all cases. After mean follow-up of 15 months, 2 tricuspid aortic valve patients remain I/IV regurgitation and II/IV in the bicuspid patient. Although long-term results remain unclear, our results show that this procedure is feasible and beneficial in patients with aortic valve regurgitation due to cusp prolapse.- - - - - - - - - - ranking = 1keywords = prolapse (Clic here for more details about this article) |
2/11. Aortic laceration due to prolapse of the bicuspid aortic valve: case report.Reports of aortic regurgitation due to rupture of the aortic valve commissures are rare. Prompt surgical intervention is necessary, as the condition results in rapid, progressive heart failure and subsequent death. We report the case of a 78-year-old man who presented with aortic laceration and cardiac tamponade that was probably induced by prolapse of the bicuspid aortic valve. We speculate that prompt initial surgery may have prevented aortic laceration and cardiac tamponade in this patient. Thus, in order to optimize clinical outcome, clinicians must consider early, precautionary surgical management in patients who have sudden cardiac failure due to aortic regurgitation associated with prolapse of the bicuspid aortic valve.- - - - - - - - - - ranking = 1keywords = prolapse (Clic here for more details about this article) |
3/11. Anomalous right coronary artery from the main pulmonary artery in a patient with double-chambered right ventricle.We describe a rare case of double-chambered right ventricle (DCRV) in a 32-year-old female presenting to the echocardiography lab for evaluation of congenital heart disease. We identified a unique constellation of findings, including the DCRV, a perimembranous ventricular septal defect, aortic valve prolapse, patent foramen ovale, and an anomalous right coronary artery coming off the main pulmonary artery. To the best of our knowledge, this is the first reported case describing the association of an anomalous right coronary artery coming off the main pulmonary artery in a patient with DCRV.- - - - - - - - - - ranking = 0.16666666666667keywords = prolapse (Clic here for more details about this article) |
4/11. Aortic regurgitation due to aortic root intimal tear as a result of blunt chest trauma.We report a 31-year-old male patient who sustained blunt trauma to the chest, abdomen and left knee resulting in a liver laceration, left patella fracture and aortic regurgitation. Hepatorrhaphy, open reduction of the fractured patella and resuspension of the prolapsed aortic valve secondary to the aortic root intimal tear were performed subsequently. Prompt diagnosis and aggressive intervention of such injuries can lead to successful repair of potentially fatal cardiac trauma.- - - - - - - - - - ranking = 0.16666666666667keywords = prolapse (Clic here for more details about this article) |
5/11. Acute aortic valve prolapse in Marfan's syndrome.A 22 year old man with Marfan's syndrome died suddenly following acute aortic valve prolapse. Although aortic root involvement in Marfan's syndrome is common, we have found no previous description of this particular complication in the literature.- - - - - - - - - - ranking = 0.83333333333333keywords = prolapse (Clic here for more details about this article) |
6/11. Abbreviated aortic insufficiency in aortic dissection caused by prolapse of the intimal flap.Aortic insufficiency was identified in a patient with acute ascending aortic dissection. The aortic insufficiency was limited to the first half of diastole by prolapse of the intimal flap against the regurgitant orifice. This unusual pathophysiology was well demonstrated by two-dimensional and color flow Doppler echocardiography.- - - - - - - - - - ranking = 0.83333333333333keywords = prolapse (Clic here for more details about this article) |
7/11. Aortic regurgitation due to non-traumatic rupture of the aortic valve commissures: report of two cases.Two cases of severe aortic regurgitation due to non-traumatic rupture of the aortic valve commissures are reported. The cause of rupture was hypertension in one patient, but it could not be identified in the other, where microscopic examinations of the aortic wall and the aortic cusps showed no particular pathologic changes. M-mode echocardiography revealed enlargement of the left ventricle, diastolic flutter of the anterior mitral leaflet and diastolic separation of the closure line of the aortic cusps in both patients. Two-dimensional echocardiography showed a downward displacement of the prolapsing motion of the aortic valve cusp during diastole toward the left ventricular outflow tract in one patient, and eccentricity of the coaptation point of the aortic valve without thickening of the cusps in the other. In addition to clinical features of progressive heart failure and characteristic cardiac murmur, echocardiographic studies provided correct diagnosis of aortic valve prolapse resulting from rupture of the aortic valve commissures. Both patients underwent aortic valve replacement successfully.- - - - - - - - - - ranking = 0.16666666666667keywords = prolapse (Clic here for more details about this article) |
8/11. An adult case with multiple cardiac valve prolapse and regurgitation.A 56-year-old female had pure regurgitation in all cardiac valves. color Doppler echocardiography showed a regurgitant jet in all cardiac valves. The severity of regurgitation due to the prolapse in all valves was moderate. The patient had no history of rheumatic fever, ischemic heart disease, endocarditis or hypertension. Physical characteristics of the patient were neither of Marfan's nor Ehlers-Danlos' syndrome. The etiology of regurgitation in all cardiac valves of this patient may be due to multiple valve prolapse.- - - - - - - - - - ranking = 1keywords = prolapse (Clic here for more details about this article) |
9/11. Unruptured aneurysm of the sinus of valsalva into the pulmonary artery.Congenital aneurysms of the sinus of valsalva are rare lesions. Because the aortic root is central, the aneurysm can rupture into any cardiac chamber, and virtually all combinations of sinus and chamber fistulas have been described. rupture into the pulmonary artery, however, is very rare. We encountered a 14-year-old boy with conal ventricular septal defect and right coronary cusp prolapse with an unruptured aneurysm of the sinus of valsalva into the pulmonary artery.- - - - - - - - - - ranking = 0.16666666666667keywords = prolapse (Clic here for more details about this article) |
10/11. Is early surgery always necessary in patients with aortic valve prolapse complicating an Eisenmenger-type ventricular septal defect?BACKGROUND: The report presents three patients who showed a typically prolapsed aortic cusp with or without aortic regurgitation associated with a malalignment-type perimembranous defect, the so called Eisenmenger-type ventricular septal defect. RESULTS: Each patient developed spontaneous complete or near closure of the ventricular septal defect without worsening of the aortic regurgitation. CONCLUSIONS: These cases suggest that prolapsed aortic cusp complicating a malalignment perimembranous ventricular septal defect is not always an absolute indication for early surgery to prevent progressive aortic regurgitation.- - - - - - - - - - ranking = 1keywords = prolapse (Clic here for more details about this article) |
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