Karvounaris Stylianos A, Sivitanidis Evaggelos, Mavrommatis Petros P, Papaetis Georgios S
Department of Cardiology, Evangelismos Hospital, Paphos, Cyprus.
Department of Cardiac and Thoracic Surgery, The Interbalkan Medical Center of Thessaloniki, Pylaia, Thessaloniki, Greece.
Eur J Case Rep Intern Med. 2021 Jan 25;8(1):002234. doi: 10.12890/2021_002234. eCollection 2021.
We describe a 58-year-old Caucasian male weightlifter who presented with acute shortness of breath after finishing his extensive exercise routine. Acute aortic valve regurgitation, due to spontaneous rupture of a bicuspid aortic valve, was diagnosed. Urgent surgical intervention was carried out, during which the bicuspid aortic valve was resected and replaced with an On-X bileaflet mechanical valve. The patient remains asymptomatic and is treated with warfarin, being in excellent physical condition 4 years after aortic valve replacement.
Spontaneous rupture of a bicuspid aortic valve, after heavy weightlifting, is a very rare cause of acute aortic valve regurgitation.Echocardiography is of vital importance to distinguish the reason for this medical emergency from other possible causes.Prompt diagnosis and surgical treatment can achieve excellent long-term results.
我们描述了一名58岁的白人男性举重运动员，他在完成高强度日常训练后出现急性呼吸急促。诊断为由于二叶式主动脉瓣自发性破裂导致的急性主动脉瓣反流。进行了紧急手术干预，术中切除了二叶式主动脉瓣，并用On-X双叶机械瓣膜进行了置换。患者仍无症状，服用华法林治疗，主动脉瓣置换术后4年身体状况良好。
举重后二叶式主动脉瓣自发性破裂是急性主动脉瓣反流非常罕见的原因。超声心动图对于将这种医疗急症的原因与其他可能原因区分开来至关重要。及时诊断和手术治疗可取得优异的长期效果。
