Raphal Cord Rupture
A 70-year-old male with chronic aortic regurgitation was referred with abrupt worsening heart failure. Late referral markers were pulmonary hypertension, mitral regurgitation, and tricuspid regurgitation. Evaluation revealed rupture of a raphal cord or fenestrated raphe from the conjoined cusp of a...
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Format: | Article |
Language: | English |
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Elsevier
2023-04-01
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Series: | JACC: Case Reports |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2666084923000669 |
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author | Geoffrey D. Huntley, MD Jared G. Bird, MD Ying-Chun Lo, MD, PHD Gabor Bagameri, MD Hector I. Michelena, MD |
author_facet | Geoffrey D. Huntley, MD Jared G. Bird, MD Ying-Chun Lo, MD, PHD Gabor Bagameri, MD Hector I. Michelena, MD |
author_sort | Geoffrey D. Huntley, MD |
collection | DOAJ |
description | A 70-year-old male with chronic aortic regurgitation was referred with abrupt worsening heart failure. Late referral markers were pulmonary hypertension, mitral regurgitation, and tricuspid regurgitation. Evaluation revealed rupture of a raphal cord or fenestrated raphe from the conjoined cusp of a congenitally bicuspid aortic valve, a rare mechanism of aortic regurgitation. (Level of Difficulty: Intermediate.) |
first_indexed | 2024-04-10T07:27:40Z |
format | Article |
id | doaj.art-8bc13d6ec77f4cd2bda7b266ef69fbe4 |
institution | Directory Open Access Journal |
issn | 2666-0849 |
language | English |
last_indexed | 2024-04-10T07:27:40Z |
publishDate | 2023-04-01 |
publisher | Elsevier |
record_format | Article |
series | JACC: Case Reports |
spelling | doaj.art-8bc13d6ec77f4cd2bda7b266ef69fbe42023-02-24T04:31:41ZengElsevierJACC: Case Reports2666-08492023-04-0111101791Raphal Cord RuptureGeoffrey D. Huntley, MD0Jared G. Bird, MD1Ying-Chun Lo, MD, PHD2Gabor Bagameri, MD3Hector I. Michelena, MD4Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USADepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USADepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USADepartment of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota, USADepartment of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA; Address for correspondence: Dr Hector I. Michelena, Department of Cardiovascular Medicine, Mayo Clinic, 200 First Street SW, Rochester, Minnesota 55905, USA.A 70-year-old male with chronic aortic regurgitation was referred with abrupt worsening heart failure. Late referral markers were pulmonary hypertension, mitral regurgitation, and tricuspid regurgitation. Evaluation revealed rupture of a raphal cord or fenestrated raphe from the conjoined cusp of a congenitally bicuspid aortic valve, a rare mechanism of aortic regurgitation. (Level of Difficulty: Intermediate.)http://www.sciencedirect.com/science/article/pii/S2666084923000669aortic regurgitationbicuspid aortic valvefenestrated rapheraphal cord |
spellingShingle | Geoffrey D. Huntley, MD Jared G. Bird, MD Ying-Chun Lo, MD, PHD Gabor Bagameri, MD Hector I. Michelena, MD Raphal Cord Rupture JACC: Case Reports aortic regurgitation bicuspid aortic valve fenestrated raphe raphal cord |
title | Raphal Cord Rupture |
title_full | Raphal Cord Rupture |
title_fullStr | Raphal Cord Rupture |
title_full_unstemmed | Raphal Cord Rupture |
title_short | Raphal Cord Rupture |
title_sort | raphal cord rupture |
topic | aortic regurgitation bicuspid aortic valve fenestrated raphe raphal cord |
url | http://www.sciencedirect.com/science/article/pii/S2666084923000669 |
work_keys_str_mv | AT geoffreydhuntleymd raphalcordrupture AT jaredgbirdmd raphalcordrupture AT yingchunlomdphd raphalcordrupture AT gaborbagamerimd raphalcordrupture AT hectorimichelenamd raphalcordrupture |