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An Unusual Cause of Aortic Regurgitation in a Patient With Bicuspid Aortic Valve

  • Jiaqin Ren
    Affiliations
    Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China

    Department of Anesthesiology, Guiqian International General Hospital, Guiyang, Guizhou, China
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  • Mingjing Chen
    Affiliations
    Department of Epidemiology, College of Public Health & Health Professions and College of Medicine, University of Florida, Gainesville, FL
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  • Li Tang
    Affiliations
    Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China
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  • Lei Du
    Correspondence
    Address correspondence to Haibo Song, PhD and Lei Du, PhD, Department of Anesthesiology, West China Hospital, Sichuan University, No. 37 Guo Xue Alley, Chengdu 610041, Sichuan, China.
    Affiliations
    Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China
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  • Haibo Song
    Correspondence
    Address correspondence to Haibo Song, PhD and Lei Du, PhD, Department of Anesthesiology, West China Hospital, Sichuan University, No. 37 Guo Xue Alley, Chengdu 610041, Sichuan, China.
    Affiliations
    Department of Anesthesiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China
    Search for articles by this author
Published:January 04, 2023DOI:https://doi.org/10.1053/j.jvca.2022.12.024
      Aortic fibrous strands are considered residual tissue from aortic valve development. Rupture of these strands is an important albeit uncommon cause of aortic regurgitation (AR). The authors describe a 67-year-old man who was admitted to the authors’ hospital with sudden onset shortness of breath and diagnosed with severe AR. The patient was scheduled for Bentall surgery. The transesophageal echocardiogram (TEE) found multiple fibrous strands that were present in multiple locations of the aortic valve, some of which were ruptured. Ruptured fibrous strands are in the differential diagnosis in patients presenting with acute AR without a more conventional explanation, and TEE is instrumental in securing the diagnosis.

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