RUPTURE OF AORTIC VALVE CUSP ATTACHMENT DUE TO CYSTIC MEDIONECROSIS OF THE AORTA: A CASE REPORT WITH NECROPSY FINDINGS
Authors: F B HAYS, W H BOGGAN
Journal: Annals of Internal Medicine (1955)

Case Reports1 November 1955RUPTURE OF AORTIC VALVE CUSP ATTACHMENT DUE TO CYSTIC MEDIONECROSIS OF THE AORTA: A CASE REPORT WITH NECROPSY FINDINGSFRANK B. HAYS, M.D., WILLARD H. BOGGAN, M.D.FRANK B. HAYS, M.D., WILLARD H. BOGGAN, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-43-5-1107 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptRupture of the aortic valve is an infrequently reported condition despite the variety of causes.1, 2, 3, 4, 5, 6, 7, 8In the majority of instances the etiology is valve damage as a result of syphilis, bacterial endocarditis or arteriosclerosis, unless there is a history of specific external trauma. A few reports1, 2, 3, 4are found in which rupture of the valve occurred spontaneously or after varying degrees of physical exertion. In the case reported below, rupture of the commissural attachment of the posterior and right anterior cusps of the aortic valve was found to be due to...Bibliography1. Howard CP: Aortic insufficiency due to rupture by strain of a normal aortic valve, Canad. M. A. J. 19: 12, 1928. MedlineGoogle Scholar2. Carroll D: Non-traumatic aortic valve rupture, Bull. Johns Hopkins Hosp. 89: 309, 1951. MedlineGoogle Scholar3. GelfandBellet DS: The musical murmur of aortic insufficiency, Am. J. M. Sc. 221: 644, 1951. CrossrefMedlineGoogle Scholar4. PhillipsEastonFulton RWFWMN: Spontaneous rupture of the aortic valve, Rhode Island M. J. 32: 549, 1949. MedlineGoogle Scholar5. KissaneKoonsClark RWRATE: Traumatic rupture of the aortic valve, Am. J. Med. 4: 606, 1948. CrossrefMedlineGoogle Scholar6. BeanMohaupt WBFX: Rupture of aortic valve, J. A. M. A. 150: 92, 1952. CrossrefMedlineGoogle Scholar7. BeanSchmidt WBMC: Rupture of the aortic valve, J. A. M. A. 153: 214, 1953. CrossrefMedlineGoogle Scholar8. AbrahamJackson EMM: Rupture of the aortic valve and abscesses of the valve ring complicating bacterial endocarditis, Am. Pract. and Digest. Treat. 3: 781, 1952. MedlineGoogle Scholar9. Sailer S: Dissecting aneurysm of the aorta, Arch. Path. 33: 704, 1942. Google Scholar10. GlendyCastlemanWhite REBPD: Dissecting aneurysm of the aorta, Am. Heart J. 13: 129, 1937. CrossrefGoogle Scholar11. GoreSeiwert IVJ: Dissecting aneurysm of the aorta, Arch. Path. 53: 121, 1952. Google Scholar12. Rottino A: Medial degeneration of the aorta as seen in twelve cases of dissecting aneurysm, Arch. Path. 28: 1, 1939. Google Scholar13. SchnitkerBayer MACA: Dissecting aneurysm of the aorta in young individuals, particularly in association with pregnancy, Ann. Int. Med. 20: 486, 1944. LinkGoogle Scholar14. Gore I: Dissecting aneurysms of the aorta in persons under forty years of age, Arch. Path. 55: 1, 1953. Google Scholar15. AmrominSchlichterSolway GDJGAJ: Medionecrosis of the aorta, Arch. Path. 46: 380, 1948. Google Scholar16. Schlichter JG: Experimental medionecrosis of the aorta, Arch. Path. 42: 182, 1946. Google Scholar17. Gore I: Pathogenesis of dissecting aneurysm of the aorta, Arch. Path. 53: 142, 1952. Google Scholar18. Rottino A: Medial degeneration of the aorta, Arch. Path. 28: 377, 1939. Google Scholar19. BelletGouleyNicholsMcMillan SBCFTM: Loud, musical, diastolic murmurs of aortic insufficiency, Am. Heart J. 18: 483, 1939. CrossrefGoogle Scholar20. BaerTaussigOppenheimer RWHBEH: Congenital aneurysmal dilatation of the aorta associated with arachnodactyly, Bull. Johns Hopkins Hosp. 72: 309, 1943. Google Scholar21. TobinBayHumphreys JREBEM: Marfan's syndrome in the adult, Arch. Int. Med. 80: 475, 1947. CrossrefGoogle Scholar22. TungLiebow HAA: Marfan's syndrome, Lab. Invest. 1: 382, 1952. MedlineGoogle Scholar23. UyeyamaKondoKamins HBM: Arachnodactylia and cardiovascular disease: report of an autopsied case with a summary of previously autopsied cases, Am. Heart J. 34: 580, 1947. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Jackson, Mississippi*Received for publication August 16, 1954.From the Medical Service, Veterans Administration Center, Jackson, Mississippi. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited bySpontaneous dehiscence of an aortic commissure complicating idiopathic aortic root dilatationErworbene HerzklappenfehlerDie AorteninsuffizienzSpontaneous Aortic Cusp Rupture Associated with Valvular Myxomatous TransformationComplex shape and variability of the diastolic murmur of aortic regurgitationSymptomatic Valvular Myxomatous Transformation (The Floppy Valve Syndrome)Ruptured aortic cusp associated with an heritable disorder of connective tissueMarfan's syndrome 1 November 1955Volume 43, Issue 5Page: 1107-1115KeywordsAortaAortic valveAsphyxiaAuscultationDyspneaEndocarditisEtiologyMedical servicesSyphilisThorax ePublished: 1 December 2008 Issue Published: 1 November 1955 PDF downloadLoading ...