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Submitted: 07 Feb 2014
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J Cardiovasc Thorac Res. 2014;6(1):61-63.
doi: 10.5681/jcvtr.2014.012
PMID: 24753835
PMCID: PMC3992735
  Abstract View: 670
  PDF Download: 447

Case Report

Rheumatic Aortic Regurgitation in a Patient with Large Congenital Fenestrations in All Three Leaflets

Ahmadreza Jodati, Babak Kazemi * , Naser Safaei

1 Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran


Fenestrations of the aortic valve rarely produce significant valvular regurgitation. These are typically described as incidental findings with little clinical significance because they generally lie above their closing edges. Rarely however, when unusually large or multiple, they can lead to massive aortic regurgitation (AR), mostly in patients with chronic hypertension and/or aortic annular dilation. We operated a 52 year old normotensive male with chronic rheumatic AR and found large fenestrations in all three aortic cusps, hardly ever reported in rheumatic valvular involvement in the literature.
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