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Ann Thorac Surg 1999;67:1487-1489
© 1999 The Society of Thoracic Surgeons

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Case Reports

Severe aortic regurgitation immediately after mitral valve annuloplasty

^a Department of Medicine, Montreal Heart Institute, Montreal, Quebec, Canada
^b Department of Surgery, Montreal Heart Institute, Montreal, Quebec, Canada
^c Department of Anesthesiology, Montreal Heart Institute, Montreal, Quebec, Canada

Accepted for publication October 28, 1998.

Address reprint requests to Dr Tardif, Montreal Heart Institute, 5000 Belanger East, Montreal, PQ, Canada H1T 1C8
e-mail: tardifjc{at}icm.umontreal.ca

We report a case of severe aortic regurgitation occurring immediately after the insertion of a mitral annuloplasty ring. On transesophageal echocardiography, regurgitation was found to originate from the retracted left coronary cusp. On direct examination, part of the aortic wall was folded, but no suture could be identified. It was reasoned that tension created by the ring caused the retraction. The problem was corrected by releasing three sutures on the ring. Postoperative course was uneventful.

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