Rheumatic Aortic Regurgitation in a Patient with Large Congenital Fenestrations in All Three Leaflets

Fenestrations of the aortic valve rarely produce significant valvular regurgitation. These are typically described as incidental findings with little clinical significance because they generally lie above their closing edges. Rarely however, when unusually large or multiple, they can lead to massive...

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Bibliographic Details
Main Authors: Ahmadreza Jodati, Babak Kazemi, Naser Safaei
Format: Article
Language:English
Published: Tabriz University of Medical Sciences 2014-03-01
Series:Journal of Cardiovascular and Thoracic Research
Subjects:
Online Access:http://journals.tbzmed.ac.ir/JCVTR/PDF/JCVTR-6-61.pdf
Description
Summary:Fenestrations of the aortic valve rarely produce significant valvular regurgitation. These are typically described as incidental findings with little clinical significance because they generally lie above their closing edges. Rarely however, when unusually large or multiple, they can lead to massive aortic regurgitation (AR), mostly in patients with chronic hypertension and/or aortic annular dilation. We operated a 52 year old normotensive male with chronic rheumatic AR and found large fenestrations in all three aortic cusps, hardly ever reported in rheumatic valvular involvement in the literature.
ISSN:2008-5117
2008-6830