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Updated: Jun 23, 2025

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
An Unusual Case of Bicuspid Aortic Valve With Prolapse Masquerading as Cusp Perforation
Vikas Kilaru1, Sharvil Patel1, Hely Patel2
1Internal Medicine, Northeast Georgia Medical Center Gainesville, Gainesville, USA.
Abstract:
We present a unique clinical scenario of a 58-year-old male with a past medical history of hypertension who initially presented with chest pain and was ruled in for non-ST elevation myocardial infarction (NSTEMI) but rapidly developed respiratory failure secondary to aortic insufficiency complicated by cardiogenic shock (CS), attributed to aortic valve prolapse. Intriguingly, the patient had a normal ECG on presentation, underscoring the dynamic nature of valvular pathology. The development of CS highlights the importance of early recognition, prompt diagnosis, and interdisciplinary management in such complex cases.
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