{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:52:04Z","timestamp":1753876324994,"version":"3.41.2"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T00:00:00Z","timestamp":1696377600000},"content-version":"vor","delay-in-days":3,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,10,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Aortic valve fenestration (AVF) is a relatively common anatomical variation, while its rupture is a rare cause of aortic regurgitation (AR), especially following coronary angiography. This case report highlights the importance of echocardiographic evaluation and multidisciplinary discussion for the differential diagnosis of fibroelastoma or endocarditis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>A 66-year-old man presented with acute shortness of breath following coronary angiography for an inferior ST-elevation myocardial infarction. Echocardiography revealed severe aortic regurgitation associated with a filamentous mobile structure on the non-coronary cusp. A multidisciplinary discussion was conducted to determine the cause of the AR, leading to the patient undergoing aortic valve replacement. A gross inspection of the valve confirmed AVF rupture.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Iatrogenic AVF rupture following coronary angiography is an exceptionally rare complication. Thorough echocardiographic evaluation plays a significant role in differentiating AVF rupture from other valve pathologies, such as fibroelastoma, Lambl\u2019s excrescence, or endocarditis. Echocardiographic features, including a very thin, linear, and flail-like mobile lesion, the paracommissural location, frequent involvement of the non-coronary cusp, and an eccentric jet of the AR, are suggestive of AVF rupture. While medical history and clinical examination contribute to the diagnostic process, definitive diagnosis relies on surgery and anatomopathology.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytad485","type":"journal-article","created":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T20:26:44Z","timestamp":1696278404000},"source":"Crossref","is-referenced-by-count":1,"title":["Iatrogenic aortic valve fenestration rupture following coronary angiography: a case report"],"prefix":"10.1093","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3152-255X","authenticated-orcid":false,"given":"Olivier","family":"Montandrau","sequence":"first","affiliation":[{"name":"Department of Anaesthesia and Intensive Care, Institut Mutualiste Montsouris , 42 Boulevard Jourdan , 75014 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenza","family":"Souffi","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care, Institut Mutualiste Montsouris , 42 Boulevard Jourdan , 75014 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tesnim","family":"Besbes","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Institut Mutualiste Montsouris , 42 Boulevard Jourdan , 75014 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susanna","family":"Salvi","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Institut Mutualiste Montsouris , 42 Boulevard Jourdan , 75014 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivan","family":"Philip","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care, Institut Mutualiste Montsouris , 42 Boulevard Jourdan , 75014 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,10,4]]},"reference":[{"key":"2023102618250804000_ytad485-B1","doi-asserted-by":"crossref","first-page":"e083","DOI":"10.1097\/j.pbj.0000000000000083","article-title":"Aortic valve fenestrations: a review","volume":"5","author":"Zhu","year":"2020","journal-title":"Porto Biomed J"},{"key":"2023102618250804000_ytad485-B2","first-page":"125","article-title":"Aortic valve fenestrations: an unsuspected cause of severe regurgitation","volume":"7","author":"Sharma","year":"2023","journal-title":"CASE (Phila)"},{"key":"2023102618250804000_ytad485-B3","doi-asserted-by":"crossref","first-page":"984","DOI":"10.1016\/j.jcin.2010.04.018","article-title":"Aortic regurgitation after cardiac catheterization","volume":"3","author":"Safar","year":"2010","journal-title":"JACC Cardiovasc Interv"},{"key":"2023102618250804000_ytad485-B4","doi-asserted-by":"crossref","first-page":"392","DOI":"10.4103\/aca.ACA_125_20","article-title":"Iatrogenic aortic regurgitation following percutaneous coronary intervention: role of transesophageal echocardiography in the detection and management","volume":"24","author":"Singh","year":"2021","journal-title":"Ann Card Anaesth"},{"key":"2023102618250804000_ytad485-B5","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1111\/jocs.14272","article-title":"Rare case of iatrogenic aortic valve leaflet tear following a diagnostic coronary angiogram","volume":"35","author":"Madigan","year":"2020","journal-title":"J Card Surg"},{"key":"2023102618250804000_ytad485-B6","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1111\/j.1540-8191.2011.01306.x","article-title":"Repair of iatrogenic aortic regurgitation following cardiac catheterization","volume":"26","author":"Bouabdallaoui","year":"2011","journal-title":"J Card Surg"},{"key":"2023102618250804000_ytad485-B7","first-page":"501","article-title":"Percutaneous coronary intervention: a rare cause of acute traumatic aortic regurgitation","volume":"70","author":"Chuli\u00e1n S","year":"2017","journal-title":"Rev Esp Cardiol (Engl Ed)"},{"key":"2023102618250804000_ytad485-B8","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1510\/icvts.2010.252155","article-title":"Aortic valve lesion after coronary angiography","volume":"12","author":"Rolf","year":"2011","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"2023102618250804000_ytad485-B9","doi-asserted-by":"crossref","first-page":"ytab044","DOI":"10.1093\/ehjcr\/ytab044","article-title":"Severe chronic aortic regurgitation after percutaneous coronary intervention: a case report and literature review","volume":"5","author":"Wedin","year":"2021","journal-title":"Eur Heart J Case Rep"},{"key":"2023102618250804000_ytad485-B10","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1093\/ejechocard\/jeq004","article-title":"European Association of echocardiography. 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