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Flail Aortic Valve in Systemic Lupus Erythematosus
Author(s) -
MEHTA RAJEN K.,
AGRAWAL GOPAL G.,
NANDA NAVIN C.,
TIRTAMAN CONNIE,
PACIFICO ALBERT
Publication year - 1996
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/j.1540-8175.1996.tb00916.x
Subject(s) - medicine , cardiology , regurgitation (circulation) , aortic valve , infective endocarditis , endocarditis , commissure , cusp (singularity) , surgery , anatomy , geometry , mathematics
This case report describes a patient with systemic lupus erythematosus who demonstrated by trans‐esophageal echocardiography (TEE) a flail right coronary cusp of the aortic valve causing severe aortic regurgitation. This finding was confirmed at surgery, which showed near detachment of the right coronary leaflet near the commissure. Destruction of areas of the aortic valve has been reported in one previous case report in the absence of infective endocarditis or a traumatic process. This is the second case to our knowledge and the first to describe identification by TEE.