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You are here: Contents > 2017 > Volume 26 Number 3 May 2017 > CASE REPORTS > Post-Coital Acute Rupture of a Fenestrated Aortic Valve

Post-Coital Acute Rupture of a Fenestrated Aortic Valve

Aurélien Roumy1,3, Xavier Jeanrenaud2, René Pretre1, Matthias Kirsch1

1Cardiovascular Surgery Department, University Hospital of Lausanne, Lausanne, Switzerland
2Cardiology Department, University Hospital of Lausanne, Lausanne, Switzerland
3Electronic correspondence: aurelien.roumy@chuv.ch

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.

The Journal of Heart Valve Disease 2017;26:358-360


Post-Coital Acute Rupture of a Fenestrated Aortic Valve

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