Korean J Thorac Cardiovasc Surg.  2009 Dec;42(6):777-780.

Avulsion of Aortic Commissure: Rare Cause of Aortic Regurgitation: 2 case reports

• Choi JW
• Hwang HY
• Choi ES
• Ahn H

Abstract

We reported here on 2 cases of aortic regurgitation (AR) that were due to avulsion of the aortic valve commissure. Aortic valvuloplasty was attempted in both cases. In the 1st case, valvuloplasty was performed with reattaching the commissure using the 5-0 polypropylene continuous suture technique. However, aortic regurgitation recurred and this lead to reoperation on the postoperative 14th day. The intraoperative finding revealed a completely re-detached commissure that required mechanical valve replacement. In the second case, we attempted to reattach the commissure using pledgetted multiple transverse mattress sutures with 5-0 polypropylene. Because the leaflet coaptation was incomplete, the aortic valve was replaced with a tissue valve.

Keyword

Aortic valve, surgery; Aortic valve insufficiency

MeSH Terms

Aortic Valve
Aortic Valve Insufficiency
Polypropylenes
Reoperation
Suture Techniques
Sutures
Polypropylenes