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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Main Authors: Geoffrey D. Huntley, MD, Jared G. Bird, MD, Ying-Chun Lo, MD, PHD, Gabor Bagameri, MD, Hector I. Michelena, MD
Format: Article
Language:English
Published: Elsevier 2023-04-01
Series:JACC: Case Reports
Subjects:
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.)
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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
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AT yingchunlomdphd raphalcordrupture
AT gaborbagamerimd raphalcordrupture
AT hectorimichelenamd raphalcordrupture