Huntley Geoffrey D, Bird Jared G, Lo Ying-Chun, Bagameri Gabor, Michelena Hector I
Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA.
JACC Case Rep. 2023 Feb 24;11:101791. doi: 10.1016/j.jaccas.2023.101791. eCollection 2023 Apr 5.
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. ().
一名患有慢性主动脉瓣反流的70岁男性因心力衰竭突然加重前来就诊。晚期转诊指标为肺动脉高压、二尖瓣反流和三尖瓣反流。评估发现先天性二叶式主动脉瓣联合瓣叶的腱索破裂或有孔中间嵴，这是一种罕见的主动脉瓣反流机制。（）
