A Unique Case of Aortic Valve Leaflet's Aneurysm Detected by Cardiac Computed Tomographic Angiography.

ABSTRACT: Heart valve leaflet's aneurysm is a rare finding, and literature about this topic is sparse. Early recognition is important because their rupture can lead to catastrophic valve regurgitation. An 84-year-old male with chronic ischemic cardiomyopathy was admitted to the coronary intensive care unit for non-ST elevation myocardial infarction. Baseline transthoracic echocardiography showed normal biventricular function with inhomogeneous thickening of aortic leaflets with moderate aortic regurgitation. Because the acoustic window was limited, a transesophageal echocardiography was performed, detecting a small mass in the right aortic coronary cusp with moderate regurgitation (orifice regurgitation area: 0.54 cm²; med/max gradient: 16/32 mmHg). Endocarditis was ruled out. Because of

SUBMITTER: Pergola V 

PROVIDER: S-EPMC10328130 | biostudies-literature | 2023 Jan-Mar

REPOSITORIES: biostudies-literature