Cleft-Like Formation of the Aortic Valve in an Adult Patient with a Single Coronary Artery

Hiroaki Kawano; Tomayoshi Hayashi; Takako Minami; Yuji Koide; Kiyoyuki Eishi; Koji Maemura

doi:10.2169/internalmedicine.51.7808

CASE REPORTS

Cleft-Like Formation of the Aortic Valve in an Adult Patient with a Single Coronary Artery

Hiroaki Kawano, Tomayoshi Hayashi, Takako Minami, Yuji Koide, Kiyoyuki Eishi, Koji Maemura

Author information

Keywords: aortic valve, aortic regurgitation, pathology, single coronary artery

JOURNAL OPEN ACCESS

2012 Volume 51 Issue 17 Pages 2341-2345

DOI https://doi.org/10.2169/internalmedicine.51.7808

Details

Abstract

A 51-year-old woman was admitted to our hospital with heart failure due to aortic regurgitation. Examination showed severe aortic regurgitation mainly due to cleft-like deformity of the right coronary cusp and single coronary artery. Aortic valve replacement was performed, and the deformity was seen in all aortic cusps. Histological study showed elongation of the leaflets by myofibrotic and fibrotic hyperplasia without calcification and inflammation in the aortic valve. This deformity likely arose from an acquired modification of a congenitally malformed aortic valve.

Corresponding author

Register with J-STAGE for free!