title: Acute aortic regurgitation caused by spontaneous aortic valve rupture.
abstract: We report a rare case that manifested as severe aortic regurgitation (AR) resulting from spontaneous aortic valve (AV) rupture caused by valvular myxomatous transformation in a middle-aged woman. Before operation, 1 ruptured hole on the left coronary cusp (LLC) was clearly visualized with transesophageal echocardiography (TEE). There were no clinical findings of vegetations or sinus Valsalva aneurysms. The patient was treated successfully with mechanical AV replacement. Prompt imaging evaluation is mandatory in this rare critical situation for correct diagnosis and appropriate management.
authors.affiliation: Division of Cardiology, Department of Internal Medicine, National Cheng Kung University Hospital, Tainan, Taiwan.
authors.forename: Li-Tan
authors.initials: LT
authors.lastname: Yang
authors.forename: Ping-Yen
authors.initials: PY
authors.lastname: Liu
authors.forename: Cheng-Han
authors.initials: CH
authors.lastname: Lee
authors.forename: Chung-Dann
authors.initials: CD
authors.lastname: Kan
authors.forename: Yi-Heng
authors.initials: YH
authors.lastname: Li
authors.forename: Liang-Miin
authors.initials: LM
authors.lastname: Tsai
authors.forename: Wei-Chuan
authors.initials: WC
authors.lastname: Tsai
mesh_terms: D000208:Acute Disease; D001021:Aortic Valve; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology*; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D012422:Rupture, Spontaneous / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery
keywords: 35