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DOI: 10.1055/s-2008-1039057
© Georg Thieme Verlag KG Stuttgart · New York
Repair of Aortic Regurgitation Caused by Spontaneous Avulsion of Aortic Valve Commissure in a Patient with Idiopathic Thrombocytopenic Purpura
Publication History
received June 22, 2008
Publication Date:
13 January 2010 (online)
![](https://www.thieme-connect.de/media/thoracic/201001/lookinside/thumbnails/10.1055-s-2008-1039057-1.jpg)
Abstract
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/µl 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.
Key words
Aortic disease - cardiovascular surgery - heart valve surgery
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Dr. Polychronis Antonitsis
AHEPA Hospital
First Department of Thoracic and Cardiovascular Surgery
St. Kyriakidi 1
546 36 Thessaloniki
Greece
Phone: +30 23 10 32 97 29
Email: antonits@otenet.gr