Advertisement

Echocardiographic appearance of ruptured aortic cusp

      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      Serial echocardiograms of a patient with enterococcal endocarditis and aortic insufficiency suggested the presence of vegetations on the aortic valve with progression of the lesion to frank prolapse of an aortic valve cusp. At surgery, the patient was found to have a flail noncoronary cusp to which an 8 mm vegetation was adherent. Anatomic correlations are presented, and a possible mechanism for the unusual echographic findings is discussed.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The American Journal of Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Dillon JC
        • Feigenbaum H
        • Konecke LL
        • et al.
        Echocardiographic manifestations of valvular vegetations.
        Am Heart J. 1973; 86: 698
        • Hirschfeld D
        • Schiller NB
        Echocardiographic localization of aortic valve vegetations.
        Circulation. 1974; 50: III-143
        • Gottlieb S
        • Khuddus SA
        • Balooki H
        • Dominguez AE
        • Myerburg RJ
        Echocardiographic diagnosis of aortic valve vegetations in Candida endocarditis.
        Circulation. 1974; 50: 826
        • Martinez EC
        • Burch GE
        • Giles TD
        Echocardiographic diagnosis of vegetative aortic bacterial endocarditis.
        Am J Cardiol. 1974; 34: 845
        • Lee C-C
        • Das G
        • Weissler AM
        Characteristic echocardiographic manifestations in ruptured aortic valve leaflet.
        Circulation. 1974; 50: III-144
        • Wray TM
        Echocardiographic manifestations of flail aortic valve leaflets in bacterial endocarditis.
        Circulation. 1975; 51: 832
        • Cope GD
        • Kisslo JA
        • Johnson ML
        • et al.
        Diastolic vibration of the interventricular septum in aortic insufficiency.
        Circulation. 1975; 51: 589
        • Feigenbaum H
        Echocardiography.
        in: Lea & Febiger, Philadelphia1972: 15