Roumy Aurélien, Jeanrenaud Xavier, Pretre René, Kirsch Matthias
Cardiovascular Surgery Department, University Hospital of Lausanne, Lausanne, Switzerland. Electronic correspondence:
Cardiology Department, University Hospital of Lausanne, Lausanne, Switzerland.
J Heart Valve Dis. 2017 May;26(3):358-360.
Fenestrated aortic valve is a frequent condition which is, for most of the time, asymptomatic and generally has no influence on aortic valve competence. However, aortic valve regurgitation could occur, especially in the case of fibrous strand rupture. In this situation, acute aortic regurgitation is poorly tolerated and requires urgent surgical correction. Herein is presented the case of a 70-year-old patient who was admitted as an emergency for acute heart failure after coital exertion. Echocardiography revealed severe acute aortic regurgitation due to leaflet prolapse. Intraoperative inspection of the valve showed a strand rupture of the isolated fenestration.
多孔主动脉瓣是一种常见病症，在大多数情况下无症状，通常对主动脉瓣功能无影响。然而，主动脉瓣反流可能发生，尤其是在纤维束破裂的情况下。在这种情况下，急性主动脉反流耐受性差，需要紧急手术矫正。本文介绍了一名70岁患者的病例，该患者在性交用力后因急性心力衰竭作为急诊入院。超声心动图显示因瓣叶脱垂导致严重急性主动脉反流。术中检查瓣膜发现孤立的多孔处有一条束带破裂。
