Cardiac Tamponade due to Detachment of the Aortic Valve Commissure

Hideyuki Uesugi	Touitsu Hirayama	Shoichiro Hagiwara
Ichiro Ideta	Takashi Oshitomi	Kentaro Takaji
Yukihiro Katayama	Toshiharu Sassa	Kazufumi Omori and Hidetaka Murata

（Department of Cardiovascular Surgery, Saiseikai Kumamoto Hospital, Kumamoto, Japan）

A 68-year-old man was taken to our hospital by ambulance due to syncope. He was in shock with cardiac tamponade. Pericardial drainage was performed. Aortic valve regurgitation gradually increased and surgery was performed at 25 days after onset. Surgical finding showed that there was a detachment of the commissure between the right and non coronary cusps of the aortic valve. An intimal tear was detected in the same place and aortic root replacement was required. The patient had a good recovery and he was discharged 14 days after surgery.

 

Jpn. J. Cardiovasc. Surg. 44:148-150（2015）

Keywords：intimal tear;aortic valve regurgitation;detachment of the aortic valve commissure;aortic root replacement