Raphal Cord Rupture

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

JACC: Case Reports (Apr 2023)

Raphal Cord Rupture

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

Affiliations

Geoffrey D. Huntley, MD: Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA
Jared G. Bird, MD: Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA
Ying-Chun Lo, MD, PHD: Department of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota, USA
Gabor Bagameri, MD: Department of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota, USA
Hector I. Michelena, MD: Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA; Address for correspondence: Dr Hector I. Michelena, Department of Cardiovascular Medicine, Mayo Clinic, 200 First Street SW, Rochester, Minnesota 55905, USA.

Journal volume & issue: Vol. 11
p. 101791

Abstract

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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.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

About the journal

Abstract

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