Acute Aortic Valvular Regurgitation Secondary to Avulsion of Aortic Valve Commissure in a Patient with Pseudoxanthoma Elasticum

Kazuhito HIRATA; Masanori KAKAZU; Minoru WAKE; Masahiro KYUSHIMA; Hiroaki ASATO; Toshiho TENGAN; Hidemitsu MOTOTAKE; Eisei HENZAN

doi:10.2169/internalmedicine.39.940

Kazuhito HIRATA, Masanori KAKAZU, Minoru WAKE, Masahiro KYUSHIMA, Hiroaki ASATO, Toshiho TENGAN, Hidemitsu MOTOTAKE, Eisei HENZAN

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Keywords: transesophageal echocardiography, connective tissue disorders, acute valvular regurgitation

JOURNAL FREE ACCESS

2000 Volume 39 Issue 11 Pages 940-942

DOI https://doi.org/10.2169/internalmedicine.39.940

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Abstract

A 68-year-old woman developed acute pulmonary edema due to severe acute aortic valvular regurgitation. At the time of emergency surgery, it turned out to result from spontaneous avulsion of the aortic valve commissure. Later, the patient was diagnosed to have pseudoxanthoma elasticum based on typical skin lesions. Connective tissue abnormalities associated with pseudoxanthoma elasticum might have contributed to the development of the avulsion of the aortic valve in this particular patient.
(Internal Medicine 39: 940-942, 2000)

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