scholarly journals Closure of the left coronary artery orifice by a cusp of quadricuspid aortic valve with aortic insufficiency

Cor et Vasa ◽  
2011 ◽  
Vol 53 (10) ◽  
pp. 552-554
Author(s):  
Věra Pečenková ◽  
Tomáš Marek ◽  
Vladimír Karmazín ◽  
Jan Pirk ◽  
Tomáš Miřejovský ◽  
...  
2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Agnė Balčiūnaitė ◽  
Algimantas Budrikis ◽  
Eglė Rumbinaitė ◽  
Jurgita Sabaliauskienė ◽  
Vaiva Patamsytė ◽  
...  

Ankylosing spondyloarthritis (AS) is a chronic inflammatory rheumatic disease, strongly related to human leukocyte antigen (HLA)-B27. Cardiac involvement in AS manifests in 2 to 10% of patients as aortic insufficiency, aortitis, mitral valve fibrosis, or disturbance in the conduction of the heart. In this article, we present a case of a 49-year-old male patient with AS, who was referred to our medical institution for elective aortic valve surgery because of severe aortic regurgitation. The histological findings revealed fibrosing endocarditis of aortic valve and nonspecific aortitis of aortic root. Late postoperatively, we observed exacerbation of AS and narrowing of the main left coronary artery (LAD). Our case highlights the importance of proper treatment of AS before and after cardiac surgery. Furthermore, in this case, we suspect association between cardiopulmonary bypass, activity of AS, and coronary artery disease.


Author(s):  
Joseph A. McGuire ◽  
Heather K. Hayanga ◽  
Jeremiah W. Hayanga ◽  
Daniel Sloyer ◽  
Matthew Ellison ◽  
...  

Quadricuspid aortic valve (QAV) is a rare congenital anomaly often associated with aortic insufficiency. The exact anatomy of QAV is variable, and most cases have undergone aortic valve replacement. With the recognition that aortic valve repair achieves superior patient outcomes as compared to replacement, a systematic approach to autologous reconstruction of QAV is needed. This article reports 2 cases having successful repair utilizing geometric aortic annuloplasty rings, and describes a proposed scheme for repairing most QAV defects, based on relative leaflet and commissural characteristics. Using either tri-leaflet or bicuspid ring annuloplasty, the normal sub-commissural triangles can be remodeled into a 120° or 180° configuration, respectively, and then the leaflets can be sutured and plicated to fit annular geometry. With this approach, most quadricuspid valves potentially could undergo autologous reconstruction.


Heart ◽  
2008 ◽  
Vol 94 (7) ◽  
pp. 866-866
Author(s):  
S Basavarajaiah ◽  
R S Uberoi ◽  
S Sharma

2007 ◽  
Vol 22 (3) ◽  
pp. 235-237 ◽  
Author(s):  
Natalie F. Holt ◽  
Murali Sivarajan ◽  
Divakar Mandapati ◽  
Yevgeniy Printsev ◽  
John A. Elefteriades

2012 ◽  
Vol 28 (6) ◽  
pp. 299-302
Author(s):  
Diana Ketchum ◽  
Joshua Kailin ◽  
Bobbie Boyd ◽  
William Border

This case study describes a newborn male infant with cat eye syndrome, found to have a rare constellation of congenital defects, which included an interrupted aortic arch, type B2 (with aberrant right subclavian artery), aortic valve atresia, aorto-pulmonary window, left coronary artery to pulmonary artery fistula, ventricular septal defect, atrial septal defect, and a restrictive patent ductus arteriosus.


2021 ◽  
Vol 50 (4) ◽  
pp. 244-247
Author(s):  
Yuya Komori ◽  
Naoki Wada ◽  
Naohiro Kabuto ◽  
Yuta Kuwahara ◽  
Yukihiro Takahashi

2020 ◽  
Vol 30 (7) ◽  
pp. 1046-1049 ◽  
Author(s):  
Sharmeen Samuel ◽  
Preeta Dhanantwari ◽  
Nilanjana Misra ◽  
David B. Meyer

AbstractIsolated aortic regurgitation and myocardial infarction are a rare congenital defect among neonatal patients. We present a case of a neonate with an unusual aortic valve morphology causing both regurgitation and obstruction of the left coronary artery ostium. Despite both non-invasive and invasive imaging modalities, accurate diagnosis of the valve morphology was only determined by direct visualisation at the time of surgical repair. To the knowledge of authors, this particular aortic valve morphology in neonatal population has not been previously reported in the literature.


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