Successful Aortic Valve Repair for Chronic Aortic Regurgitation due to Spontaneous Avulsion of the Aortic Valve Commissure

Yuki Wada MD , Yoshiharu Soga MD, PhD , Akira Marui MD, PhD , Nobuhisa Ohno MD, PhD
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Abstract

Avulsion of the aortic valve commissure, defined as the detachment of the commissure from the aortic wall, is a rare cause of aortic regurgitation. It is frequently associated with bacterial endocarditis, blunt chest trauma, or ascending aortic dissection and often is manifested as an acute condition. Aortic valve replacement combined with aortic surgery is the most common treatment of such patients. Herein, we report a successful case of aortic valve repair for chronic aortic regurgitation caused by the spontaneous avulsion of the aortic valve commissure.
主动脉瓣合拢处自发性撕脱所致慢性主动脉反流的成功修复
主动脉瓣接合处撕脱,定义为接合处脱离主动脉壁,是主动脉反流的罕见原因。它常与细菌性心内膜炎、钝性胸外伤或升主动脉夹层有关,常表现为急性症状。主动脉瓣置换术联合主动脉手术是此类患者最常见的治疗方法。在此,我们报告一例成功的主动脉瓣修复慢性主动脉瓣返流引起的自发性撕脱的主动脉瓣连接。
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