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Ali, Jason M.; Weir‐McCall, Jonathan R.; Ng, Choo Y.
Journal of cardiac surgery, September 2022, Letnik: 37, Številka: 9Journal Article
A 60‐year‐old male presented with sudden onset chest pain and pulmonary edema. The investigation confirmed torrential aortic regurgitation of a bicuspid valve. At surgery, a ruptured fibrous strand was identified which had been supporting the left–right cusp commissure with loss of attachment to the aortic wall. This case demonstrates that fibrous strands may be present as a supporting structure of the aortic valve, and rupture can be a rare cause of torrential aortic regurgitation, similar in pathogenesis to how it may be associated with acute severe mitral regurgitation and chordae tendineae rupture.
