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Acute Aortic Insufficiency due to the Avulsion of Aortic Valve Commissure;Report of a Case Akihisa Furuta 1 , Hironobu Morimoto 1 , Shogo Mukai 1 , Daisuke Futagami 1 , Shuhei Okubo 1 , Kenji Goto 1 1Department of Cardiovascular Surgery, Fukuyama Cardiovascular Hospital Keyword: acute aortic insufficiency , avulsion of aortic valve commissure , aortic valve replacement pp.626-629
Published Date 2018/8/1
DOI https://doi.org/10.15106/j_kyobu71_626
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A 61-year-old man with a history of hypertension and cerebral infarction, presented to a clinic with sudden dyspnea at rest. He was diagnosed with heart failure and referred to our hospital. Echocardiography and three-dimensional computed tomography showed acute heart failure and aortic insufficiency due to avulsion of the aortic valve commissure between the right coronary cusp and the non-coronary cusp. He had no symptoms such as fever or infection and no history of rheumatic disease. He underwent intima fixation of the avulsed commissure and aortic valve replacement using a tissue valve because acute left heart failure was refractory to medical treatment. Postoperative echocardiography demonstrated good left ventricular contraction without any aortic regurgitation. He was discharged on the 35th postoperative day.


© Nankodo Co., Ltd., 2018

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電子版ISSN 2432-9436 印刷版ISSN 0021-5252 南江堂

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