The extremely rare case of aortic chordae tendineae strands: A case report with literature review

Key Clinical Message The aortic chordae tendineae strands (ACTS) is a rare complication that can induce aortic regurgitation. Reported cases of ACTS are very few, and this is the first case reported in Iran. Patients with unexplained aortic regurgitation should be carefully evaluated for ACTS, which...

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Main Authors: Nakisa Khansari, Amir Mohammad Salehi
Format: Article
Language:English
Published: Wiley 2023-10-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.8033
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author Nakisa Khansari
Amir Mohammad Salehi
author_facet Nakisa Khansari
Amir Mohammad Salehi
author_sort Nakisa Khansari
collection DOAJ
description Key Clinical Message The aortic chordae tendineae strands (ACTS) is a rare complication that can induce aortic regurgitation. Reported cases of ACTS are very few, and this is the first case reported in Iran. Patients with unexplained aortic regurgitation should be carefully evaluated for ACTS, which can be easily observed by TEE; a decision regarding aortic valve surgery should be made based on the severity of AR. Herein we reported A 64‐year‐old male was admitted to our hospital for dyspnea on exertion. In transthoracic Echocardiography a fibrous band‐like chordae in the aortic root attached to the noncoronary cusp of the aorta was seen, which caused retraction of the noncoronary cusp, mal‐coaptation of the aortic valves, and severe eccentric jet posterior directed aortic regurgitation. As a result of the ACTS, the patient was diagnosed with severe aortic regurgitation (AR); due to the symptomatic severe AR, the patient underwent aortic valve surgical replacement.
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spelling doaj.art-97eff6714aaf47b58b062d4368aa759d2023-10-25T07:12:44ZengWileyClinical Case Reports2050-09042023-10-011110n/an/a10.1002/ccr3.8033The extremely rare case of aortic chordae tendineae strands: A case report with literature reviewNakisa Khansari0Amir Mohammad Salehi1Department of Cardiology, School of Medicine Hamadan University of Medical Sciences Hamadan IranStudent Research Committee, Hamadan University of Medical Sciences School of Medicine Hamadan IranKey Clinical Message The aortic chordae tendineae strands (ACTS) is a rare complication that can induce aortic regurgitation. Reported cases of ACTS are very few, and this is the first case reported in Iran. Patients with unexplained aortic regurgitation should be carefully evaluated for ACTS, which can be easily observed by TEE; a decision regarding aortic valve surgery should be made based on the severity of AR. Herein we reported A 64‐year‐old male was admitted to our hospital for dyspnea on exertion. In transthoracic Echocardiography a fibrous band‐like chordae in the aortic root attached to the noncoronary cusp of the aorta was seen, which caused retraction of the noncoronary cusp, mal‐coaptation of the aortic valves, and severe eccentric jet posterior directed aortic regurgitation. As a result of the ACTS, the patient was diagnosed with severe aortic regurgitation (AR); due to the symptomatic severe AR, the patient underwent aortic valve surgical replacement.https://doi.org/10.1002/ccr3.8033abnormal fibrous strandaortic chordae tendineae strandsaortic regurgitationaortic valveechocardiography
spellingShingle Nakisa Khansari
Amir Mohammad Salehi
The extremely rare case of aortic chordae tendineae strands: A case report with literature review
Clinical Case Reports
abnormal fibrous strand
aortic chordae tendineae strands
aortic regurgitation
aortic valve
echocardiography
title The extremely rare case of aortic chordae tendineae strands: A case report with literature review
title_full The extremely rare case of aortic chordae tendineae strands: A case report with literature review
title_fullStr The extremely rare case of aortic chordae tendineae strands: A case report with literature review
title_full_unstemmed The extremely rare case of aortic chordae tendineae strands: A case report with literature review
title_short The extremely rare case of aortic chordae tendineae strands: A case report with literature review
title_sort extremely rare case of aortic chordae tendineae strands a case report with literature review
topic abnormal fibrous strand
aortic chordae tendineae strands
aortic regurgitation
aortic valve
echocardiography
url https://doi.org/10.1002/ccr3.8033
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