Aortic valve chordae tendineae: A rare cause of aortic stenosis

We describe a rare case of severe low-flow, low-gradient aortic stenosis due to a calcified aortic valve chordae tendineae. The chordae was captured on cardiac computed tomography (CT) using advanced 3-dimensional image reconstruction to reveal the fibrous strand tethering the non-coronary cusp to t...

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Main Authors: Cara E. Saxon, MD, Tessa S.S. Genders, MD, PhD, Robert A. Quaife, MD, S. James Chen, PhD, Joseph M. Burke, MD, Erin M. McGuinn, MD
Format: Article
Language:English
Published: Elsevier 2023-01-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S193004332200872X
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author Cara E. Saxon, MD
Tessa S.S. Genders, MD, PhD
Robert A. Quaife, MD
S. James Chen, PhD
Joseph M. Burke, MD
Erin M. McGuinn, MD
author_facet Cara E. Saxon, MD
Tessa S.S. Genders, MD, PhD
Robert A. Quaife, MD
S. James Chen, PhD
Joseph M. Burke, MD
Erin M. McGuinn, MD
author_sort Cara E. Saxon, MD
collection DOAJ
description We describe a rare case of severe low-flow, low-gradient aortic stenosis due to a calcified aortic valve chordae tendineae. The chordae was captured on cardiac computed tomography (CT) using advanced 3-dimensional image reconstruction to reveal the fibrous strand tethering the non-coronary cusp to the left ventricular outflow tract, rendering it functionally immobile. This is one of the first reported cases of severe aortic stenosis from an aortic valve chordae tendineae which highlights the utility of advanced image processing techniques in cardiac CT.
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spelling doaj.art-54c6c725ba684db2b0439dfb6ba963d22022-12-22T04:15:46ZengElsevierRadiology Case Reports1930-04332023-01-0118113Aortic valve chordae tendineae: A rare cause of aortic stenosisCara E. Saxon, MD0Tessa S.S. Genders, MD, PhD1Robert A. Quaife, MD2S. James Chen, PhD3Joseph M. Burke, MD4Erin M. McGuinn, MD5Department of Medicine, University of Colorado Anschutz Medical Campus, Academic Office One, 12361 E. 17th Ave, B177, Aurora, CO 80045, USA; Corresponding author.Division of Cardiology, University of Colorado Anschutz Medical Campus, 12631 East 17th Ave, B130, Aurora, CO 80045, USADivision of Cardiology, University of Colorado Anschutz Medical Campus, 12631 East 17th Ave, B130, Aurora, CO 80045, USA; Advanced Cardiac Imaging & Image Guidance Center, University of Colorado Anschutz Medical Campus, 12605 East 16th Ave, 3rd Floor, Aurora, CO 80045, USAAdvanced Cardiac Imaging & Image Guidance Center, University of Colorado Anschutz Medical Campus, 12605 East 16th Ave, 3rd Floor, Aurora, CO 80045, USADivision of Cardiology, Denver Health Medical Center, 660 Bannock St Suite 5635, Denver, CO 80204, USADivision of Cardiology, Denver Health Medical Center, 660 Bannock St Suite 5635, Denver, CO 80204, USAWe describe a rare case of severe low-flow, low-gradient aortic stenosis due to a calcified aortic valve chordae tendineae. The chordae was captured on cardiac computed tomography (CT) using advanced 3-dimensional image reconstruction to reveal the fibrous strand tethering the non-coronary cusp to the left ventricular outflow tract, rendering it functionally immobile. This is one of the first reported cases of severe aortic stenosis from an aortic valve chordae tendineae which highlights the utility of advanced image processing techniques in cardiac CT.http://www.sciencedirect.com/science/article/pii/S193004332200872XAortic valveAortic stenosisChordae tendineaeFibrous strand
spellingShingle Cara E. Saxon, MD
Tessa S.S. Genders, MD, PhD
Robert A. Quaife, MD
S. James Chen, PhD
Joseph M. Burke, MD
Erin M. McGuinn, MD
Aortic valve chordae tendineae: A rare cause of aortic stenosis
Radiology Case Reports
Aortic valve
Aortic stenosis
Chordae tendineae
Fibrous strand
title Aortic valve chordae tendineae: A rare cause of aortic stenosis
title_full Aortic valve chordae tendineae: A rare cause of aortic stenosis
title_fullStr Aortic valve chordae tendineae: A rare cause of aortic stenosis
title_full_unstemmed Aortic valve chordae tendineae: A rare cause of aortic stenosis
title_short Aortic valve chordae tendineae: A rare cause of aortic stenosis
title_sort aortic valve chordae tendineae a rare cause of aortic stenosis
topic Aortic valve
Aortic stenosis
Chordae tendineae
Fibrous strand
url http://www.sciencedirect.com/science/article/pii/S193004332200872X
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