{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T12:09:36Z","timestamp":1747224576064,"version":"3.40.5"},"reference-count":12,"publisher":"PAGEPress Publications","license":[{"start":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T00:00:00Z","timestamp":1693958400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Monaldi Arch Chest Dis"],"abstract":"<jats:p>Aortic regurgitation (AR) is common after aortic balloon valvuloplasty in children and it has been associated with large balloon\/annulus ratio, abnormal valve morphology and aortic valve prolapse. We present a rare case of severe AR after aortic balloon valvuloplasty due to aortic strands rupture, causing prolapse of the co-joined cusp.\u00a0 These findings were identified by 3D echocardiography, highlighting the importance of this imaging technique even in pediatric patients.<\/jats:p>","DOI":"10.4081\/monaldi.2023.2713","type":"journal-article","created":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T12:28:49Z","timestamp":1694003329000},"source":"Crossref","is-referenced-by-count":0,"title":["Unusual case of severe aortic regurgitation in a child with bicuspid aortic valve"],"prefix":"10.4081","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4970-4562","authenticated-orcid":false,"given":"Martina","family":"Avesani","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1661-5419","authenticated-orcid":false,"given":"Jolanda","family":"Sabatino","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6444-2292","authenticated-orcid":false,"given":"Domenico","family":"Sirico","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0305-0113","authenticated-orcid":false,"given":"Giovanni","family":"Di Salvo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2549","published-online":{"date-parts":[[2023,9,6]]},"reference":[{"key":"30527","doi-asserted-by":"crossref","unstructured":"McElhinney DB, Lock JE, Keane JF, et al. Left heart growth, function, and reintervention after balloon aortic valvuloplasty for neonatal aortic stenosis. Circulation 2005;111:451-8.","DOI":"10.1161\/01.CIR.0000153809.88286.2E"},{"key":"30528","doi-asserted-by":"crossref","unstructured":"Balmer C, Beghetti M, Fasnacht M, et al. Balloon aorticvalvoplasty in paediatric patients: progressive aortic regurgitation is common. Heart 2004;90:77\u201381.","DOI":"10.1136\/heart.90.1.77"},{"key":"30529","doi-asserted-by":"crossref","unstructured":"Shaddy RE, Boucek MM, Sturtevant JE, et al. Gradient reduction, aortic valve regurgitation and prolapse after balloon aortic valvuloplasty in 32 consecutive patients with congenital aortic stenosis. J Am Coll Cardiol 1990 Ag;16:451-6.","DOI":"10.1016\/0735-1097(90)90601-K"},{"key":"30530","doi-asserted-by":"crossref","unstructured":"Nakajima M, Tsuchiya K, Naito Y, et al. Aortic regurgitation caused by rupture of a well-balanced fibrous strand suspending a degenerative tricuspid aortic valve. J Thorac Cardiovasc Surg 2002;124:843-4.","DOI":"10.1067\/mtc.2002.124296"},{"key":"30531","doi-asserted-by":"crossref","unstructured":"Irisawa Y, Itatani K, Kitamura T, et al. Aortic regurgitation due to fibrous strand rupture in the fenestrated left coronary cusp of the tricuspid aortic valve. Int Heart J 2014;55:550-1.","DOI":"10.1536\/ihj.14-044"},{"key":"30532","unstructured":"Misawa Y, Hasegawa T, Oyama H, et al. Congenital bicuspid aortic valve with regurgitation- a rare case showing a fibrous band between the conjoined cusp and the ascending aorta. Nihon Kyobu Geka Gakkai Zasshi 1993;41:2156-9."},{"key":"30533","unstructured":"Foxe AN. Fenestrations of the semilunar valves. Am J Pathol 1929;5:179-82."},{"key":"30534","doi-asserted-by":"crossref","unstructured":"Friedman B, Hathaway BM. Fenestration of the semilunar cusps, and functional aortic and pulmonic valve insufficiency. Am J Med 1958;24:549-58.","DOI":"10.1016\/0002-9343(58)90295-X"},{"key":"30535","doi-asserted-by":"crossref","unstructured":"Minami H, Asada T, Gan K, et al. Aortic regurgitation caused by rupture of the abnormal fibrous band between the aortic valve and aortic wall. Gen Thorac Cardiovasc Surg 2011;59:488-90.","DOI":"10.1007\/s11748-010-0722-8"},{"key":"30536","doi-asserted-by":"crossref","unstructured":"Akiyama K, Hirota J, Taniyasu N, et al. Pathogenetic significance of myxomatous degeneration in fenestration-related massive aortic regurgitation. Circ J 2004;68:439-43.","DOI":"10.1253\/circj.68.439"},{"key":"30537","doi-asserted-by":"crossref","unstructured":"Ishige A, Uejima T, Kanmatsuse K, Endo M. Giant fenestration and fibrous strand rupture of aortic valve without massive regurgitation. J Cardiol Cases 2012;5:e163-5.","DOI":"10.1016\/j.jccase.2012.02.008"},{"key":"30538","doi-asserted-by":"crossref","unstructured":"Sholler GF, Keane JF, Perry SB, et al. Balloon dilation of congenital aortic valve stenosis. Results and influence of technical and morphological features on outcome. Circulation 1988;78:351-60.","DOI":"10.1161\/01.CIR.78.2.351"}],"container-title":["Monaldi Archives for Chest Disease"],"original-title":[],"link":[{"URL":"https:\/\/www.monaldi-archives.org\/index.php\/macd\/article\/download\/2713\/1735","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.monaldi-archives.org\/index.php\/macd\/article\/download\/2713\/1735","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T12:28:57Z","timestamp":1694003337000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.monaldi-archives.org\/index.php\/macd\/article\/view\/2713"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,6]]},"references-count":12,"URL":"https:\/\/doi.org\/10.4081\/monaldi.2023.2713","relation":{},"ISSN":["2532-5264","1122-0643"],"issn-type":[{"type":"electronic","value":"2532-5264"},{"type":"print","value":"1122-0643"}],"subject":[],"published":{"date-parts":[[2023,9,6]]}}}