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Open Access Case report

Surgical management of life threatening events caused by intermittent aortic insufficiency in a native valve: case report

Mary H Martin1, Stanton B Perry1, James V Prochazka2, Frank L Hanley3 and Norman H Silverman1*

Author Affiliations

1 Department of Pediatric Cardiology, Lucile Packard Children's Hospital, Stanford University Medical Center, 750 Welch Road - Suite 305, Palo Alto, California 94304, USA

2 Department of Cardiology and Cardiothoracic Surgery, Children's Hospital Central California, 9300 Valley Children's Place, Madera, CA 93636, USA

3 Department of Pediatric Cardiothoracic Surgery, Lucile Packard Children's Hospital, Stanford University Medical Center, 750 Welch Road - Suite 305, Palo Alto, California 94304, USA

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Journal of Cardiothoracic Surgery 2010, 5:94  doi:10.1186/1749-8090-5-94

Published: 29 October 2010

Abstract

We describe a case of a patient admitted with apparent life threatening events characterized by hypotension and bradycardia. The patient was ultimately found to have intermittent severe aortic insufficiency. Upon surgical exploration, abnormalities were discovered in the aortic valve, which had a small left coronary cusp with absence of the nodulus of Arantius. Following surgical repair of the valve, aimed at preventing the small cusp from becoming stuck in the open position, the patient has remained episode free for over one year.