Document Detail

Repair of aortic regurgitation caused by spontaneous avulsion of aortic valve commissure in a patient with idiopathic thrombocytopenic purpura.
MedLine Citation:
PMID:  20072976     Owner:  NLM     Status:  MEDLINE    
We describe a case of severe acute aortic regurgitation in a 60-year-old woman due to spontaneous avulsion of an aortic valve commissure. She presented with spontaneous bleeding and a platelet count of 4 000/microl caused by idiopathic thrombocytopenic purpura and developed acute heart failure and respiratory insufficiency. Preoperative transesophageal echocardiography was not diagnostic for the exact mechanism of aortic regurgitation. She received a 2-day course of intravenous immunoglobulin (0.5 mg/kg/d) to increase platelet count. At operation detachment (avulsion) of the commissure between the left and the right coronary cusp was evident. Aortic valve repair was performed with resuspension of the commissure. The postoperative course was uneventful. During a 24-month follow-up period, the patient has remained in NYHA class I.
N Charokopos; P Artemiou; P Antonitsis; E Rouska
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-01-13
Journal Detail:
Title:  The Thoracic and cardiovascular surgeon     Volume:  58     ISSN:  1439-1902     ISO Abbreviation:  Thorac Cardiovasc Surg     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-01-14     Completed Date:  2010-03-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7903387     Medline TA:  Thorac Cardiovasc Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  43-4     Citation Subset:  IM    
First Department of Thoracic and Cardiovascular Surgery, AHEPA Hospital, Thessaloniki, Greece.
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MeSH Terms
Aortic Valve / pathology*,  surgery,  ultrasonography
Aortic Valve Insufficiency / complications*,  etiology*,  ultrasonography
Middle Aged
Purpura, Thrombocytopenic, Idiopathic / complications*

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