FENESTRATIONS OF THE AORTIC VALVE CUSPS AS A CAUSE OF AORTIC INSUFFICIENCY AND SPONTANEOUS AORTIC VALVE CUSP RUPTURE
Authors: Robert J. Matthews, Fred T. Darvill
Journal: Annals of Internal Medicine (1956)

Case Reports1 May 1956FENESTRATIONS OF THE AORTIC VALVE CUSPS AS A CAUSE OF AORTIC INSUFFICIENCY AND SPONTANEOUS AORTIC VALVE CUSP RUPTUREROBERT J. MATTHEWS, M.D., FRED T. DARVILL JR., M.D.ROBERT J. MATTHEWS, M.D., FRED T. DARVILL JR., M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-44-5-993 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptINTRODUCTIONInsufficiency of the aortic valve is caused most frequently by rheumatic fever or syphilis. Occasionally aortic insufficiency may be a result of bacterial endocarditis, dilatation of the aortic valve ring, hypertension and aortic arteriosclerosis, dissecting aortic aneurysm or trauma. No mention is made in the commonly used texts of cardiology, medicine and pathology of fenestrations of the aortic valve cusps as a cause of aortic insufficiency or of spontaneous aortic valve cusp rupture.1, 2, 3, 4, 5In fact, the literature on fenestrations of the semilunar valves is quite scant. In 1897, a study of 4,252 autopsies on mentally...Bibliography1. Friedberg CK: Diseases of the heart, 1949, W. B. Saunders Company, Philadelphia, pp. 588-603, 989. Google Scholar2. Gould SE: Pathology of the heart, 1953, C. C. Thomas, Springfield, Illinois, pp. 114-116. Google Scholar3. Anderson WA: Pathology, 1948, C. V. Mosby Company, St. Louis, pp. 437-548. Google Scholar4. GrossKugel LMA: Topographic anatomy and histology of the valves in the human heart, Am. J. Path. 7: 445, 1931. MedlineGoogle Scholar5. White PD: Chronic valvular cardiac disease, in Textbook of medicine, edited by R. L. Cecil and R. F. Loeb, 8th Ed., 1951, W. B. Saunders Company, Philadelphia, pp. 1110-1122. Google Scholar6. Simpson FO: Congenital abnormalities of the heart in the insane, J. Anat. and Physiol. 32: 679, 1897-1898. Google Scholar7. Foxe AN: Fenestrations of the semilunar valves, Am. J. Path. 5: 179, 1929. MedlineGoogle Scholar8. Howard CP: Aortic insufficiency due to rupture by strain of a normal aortic valve, Canad. M. A. J. 19: 12, 1928. MedlineGoogle Scholar9. Bushong BB: Traumatic rupture of the aortic valve: report of two cases, one autopsy proven and the other a probable example of this condition, Ann. Int. Med. 26: 125, 1947. LinkGoogle Scholar10. KissaneKoonsClark RWRATE: Traumatic rupture of the aortic valve, Am. J. Med. 4: 606, 1948. CrossrefMedlineGoogle Scholar11. Carroll D: Nontraumatic aortic valve rupture, Bull. Johns Hopkins Hosp. 89: 309, 1951. MedlineGoogle Scholar12. BeanMohaupt WBFX: Rupture of the aortic valve, J. A. M. A. 150: 92, 1952. CrossrefMedlineGoogle Scholar13. CastlemanTowne BVW: Case record of the Massachusetts General Hospital: Marked fenestration of aortic cusps leading to aortic regurgitation, New England J. Med. 245: 941, 1951. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Seattle, Washington*Received for publication February 25, 1955.From the Veterans Administration Hospital and the University of Washington School of Medicine, Seattle, Washington. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byOutcomes of Reimplantation of the Aortic Valve in Patients With Aortic Cusp FenestrationAortic valve fenestrations: a reviewAortic Valve Repair—Current Status, Indications, and OutcomesAortic valve reconstruction in myxomatous degeneration of aortic valves: Are fenestrations a risk factor for repair failure?Acute Aortic Regurgitation Due to Spontaneous Rupture of a Fenestrated CuspSpontaneous rupture of a fenestrated aortic valveBlood Loss and Acid-Base Balance during Elective Abdominal Aortic AneurysmectomyMyxomatous Degeneration of Cardiac ValvesFenestration of aortic cusps causing aortic regurgitationCardiovascular Abnormalities in Osteogenesis ImperfectaAortic insufficiency secondary to spontaneous rupture of a fenestrated leafletFenestration of the semilunar cusps, and "functional" aortic and pulmonic valve insufficiency 1 May 1956Volume 44, Issue 5Page: 993-1002KeywordsAneurysmsAortic valveAutopsyDyspneaEdemaEndocarditisHospital medicineHypertensionRheumatic feverSyphilis ePublished: 1 December 2008 Issue Published: 1 May 1956 PDF downloadLoading ...