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European Journal of Cardio-Thoracic Surgery, Vol 5, 608-609, Copyright © 1991 by European Association for Cardio-thoracic Surgery

ARTICLES

Congenital aortic regurgitation caused by absence of the right coronary cusp

AH Cromme-Dijkhuis and JJ Meuzelaar
Department of Paediatric Cardiology, University Hospital, Groningen, The Netherlands.

We describe a patient with congenital aortic regurgitation, well documented from the age of 1 month. Surgery was performed at the age of 7 years, when echocardiography showed progressive dilatation of the left ventricle with decreasing shortening fraction. Inspection of the valve during the operation showed a basically tricuspid valve, but with a rudimentary right coronary cusp. At histological examination, myxoid dysplasia was found in all the cusps. An aortic homograft was inserted and the left ventricular internal dimensions returned to normal within 3 months after the operation.




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Copyright © 1991 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.