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European Journal of Echocardiography 2004 5(3):231-236; doi:10.1016/j.euje.2003.09.005
© 2004 by European Society of Cardiology
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Copyright © 2003, The European Society of Cardiology

Aortic valve regurgitation due to cusp aneurysm: a case report

A.J.H.A Scholtea,b,*, W.R.P Agemab, D Poldermansc, S.T Somerb, E.R Holmanb, E.E van der Wallb and J.J Baxb

aDepartment of Cardiology, Onze Lieve Vrouwe Gasthuis, P.O. Box 95500, 1090 HM Amsterdam, The Netherlands
bDepartment of Cardiology, Leids Universitair Medisch Centrum, The Netherlands
cDepartment of Cardiology, Thoraxcenter Rotterdam, The Netherlands

Received 3 July 2003; received in revised form 25 September 2003; accepted after revision 25 September 2003.

* Corresponding author. Tel.: 31-20-5993032; fax: 31-20-5993997. a.j.h.a.scholte{at}olvg.nl


  Abstract

Two-dimensional echocardiography is a valuable tool in visualizing and monitoring aortic valve and root abnormalities. We present a rare case of a patient with massive aortic regurgitation due to cusp aneurysm, which was accurately diagnosed by echocardiography and treated by valve replacement. A complicated course with recurrent aneurysms of the aortic wall after aortic valve replacement was remarkable in this case. Although different possible etiologies could not be determined, endocarditis and/or aortitis may be the most likely explanation of the complicated and finally fatal course of this patient.

Keywords: echocardiography; aortic regurgitation; aortic aneurysm; endocarditis


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