Key result
Emergency double valve replacement successfully treated a 54-year-old male presenting with cardiogenic shock due to acute left anterior chordal rupture secondary to chronic aortic incompetence.
Case Report (n=1)
No
Emergency double valve replacement can successfully treat acute left anterior chordae tendinae rupture secondary to chronic aortic incompetence presenting with cardiogenic shock.
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Demonstrates feasibility of emergency double valve replacement in this rare presentation; hypothesis-generating and should not yet change practice.
A 54 years old male with undiagnosed chronic calcific degenerative aortic valve incompetence presented with acute left anterior chordae tendinae rupture resulting in severe left heart failure and cardiogenic shock. He was successfully treated with emergency double valve replacement using mechanical valves. The pathogenesis of acute rupture of the anterior chordae tendinae, without any evidence of infective endocarditis or ischemic heart disease seems to have been attrition of the subvalvular mitral apparatus by the chronic regurgitant jet of aortic incompetence with chronic volume overload. We review the literature with specific focus on the occurrence of this unusual event.
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Agarwala et al. (2006) conducted a case report in Acute spontaneous left chordal rupture secondary to chronic aortic incompetence (n=1). Emergency double valve replacement using mechanical valves was evaluated on Patient survival and recovery. Emergency double valve replacement successfully treated a 54-year-old male presenting with cardiogenic shock due to acute left anterior chordal rupture secondary to chronic aortic incompetence.
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