JTCS KCI
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Toshihiro Fukui
Tomoki Shimokawa
Shuichiro Takanashi
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Fukui, T.
Right arrow Articles by Takanashi, S.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Fukui, T.
Right arrow Articles by Takanashi, S.
Related Collections
Right arrow Cardiac - other
Right arrow Great vessels
Right arrow Valve disease

J Thorac Cardiovasc Surg 2008;135:1178-1179
© 2008 The American Association for Thoracic Surgery

Brief Communication

Dehiscence of aortic valve commissure complicated by aortic regurgitation

Toshihiro Fukui, MD*, Tomoki Shimokawa, MD, Ken-u Fumimoto, MD, Susumu Mananbe, MD, Naomi Ozawa, MD, Shuichiro Takanashi, MD

Department of Cardiovascular Surgery, Sakakibara Heart Institute, Tokyo, Japan

Received for publication January 4, 2008; accepted for publication January 15, 2008.

* Address for reprints: Toshihiro Fukui, MD, Department of Cardiovascular Surgery, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu City, Tokyo 183-0003, Japan. (Email: tfukui-cvs@umin.ac.jp).

The first 20% of the full text of this article appears below.

Dehiscence or aortic valve commissural tear is a rare cause of acute aortic regurgitation (AR). We report a case of aortic valve commissural dehiscence with progressive AR and aortic root dilatation that was successfully repaired with aortic root and ascending aortic replacements.

Clinical Summary

A 67-year-old man was admitted to the Sakakibara Heart Institute with new onset of exertional precordial pain. His electrocardiogram and cardiac enzymes were normal. Contrast-enhanced computed tomography showed a small pericardial effusion but did not reveal aortic dissection. A transthoracic echocardiogram showed mild AR with no dilatation of the cardiac chamber. Furthermore, a flap or intimal tear of the proximal aorta was absent on transthoracic echocardiography. Because the patient had a history of paroxysmal atrial fibrillation, an antiarrhythmic drug was prescribed before discharge. After 1 month, he was readmitted to the Sakakibara Heart Institute because of the progression of dyspnea on exertion. He had a new diastolic murmur and a systolic murmur. Chest x-rays revealed pulmonary congestion. Transthoracic echocardiography . . . [Full Text of this Article]




This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
Y. Okamoto, M. Matsumoto, and H. Inoue
An Atypical Cause of Aortic Valve Prolapse
Ann. Thorac. Surg., September 1, 2009; 88(3): 994 - 996.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2008 by The American Association for Thoracic Surgery.