Raphal Cord Rupture: A Rare Mechanism of Aortic Regurgitation in Bicuspid Aortic Valve

Geoffrey D. Huntley; Jared G. Bird; Ying Chun Lo; Gabor Bagameri; Hector I. Michelena

doi:10.1016/j.jaccas.2023.101791

Raphal Cord Rupture: A Rare Mechanism of Aortic Regurgitation in Bicuspid Aortic Valve

Geoffrey D. Huntley, Jared G. Bird, Ying Chun Lo, Gabor Bagameri, Hector I. Michelena

Cardiovascular Medicine

Research output: Contribution to journal › Article › peer-review

Abstract

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. (Level of Difficulty: Intermediate.)

Original language	English (US)
Article number	101791
Journal	JACC: Case Reports
Volume	11
DOIs	https://doi.org/10.1016/j.jaccas.2023.101791
State	Published - Apr 5 2023

Keywords

aortic regurgitation
bicuspid aortic valve
fenestrated raphe
raphal cord

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1016/j.jaccas.2023.101791

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title = "Raphal Cord Rupture: A Rare Mechanism of Aortic Regurgitation in Bicuspid Aortic Valve",

abstract = "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. (Level of Difficulty: Intermediate.)",

keywords = "aortic regurgitation, bicuspid aortic valve, fenestrated raphe, raphal cord",

author = "Huntley, {Geoffrey D.} and Bird, {Jared G.} and Lo, {Ying Chun} and Gabor Bagameri and Michelena, {Hector I.}",

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AU - Huntley, Geoffrey D.

AU - Bird, Jared G.

AU - Lo, Ying Chun

AU - Bagameri, Gabor

AU - Michelena, Hector I.

PY - 2023/4/5

Y1 - 2023/4/5

N2 - 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. (Level of Difficulty: Intermediate.)

AB - 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. (Level of Difficulty: Intermediate.)

KW - aortic regurgitation

KW - bicuspid aortic valve

KW - fenestrated raphe

KW - raphal cord

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VL - 11

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Raphal Cord Rupture: A Rare Mechanism of Aortic Regurgitation in Bicuspid Aortic Valve

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Keywords

ASJC Scopus subject areas

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