case_images: PMC11783490_01
case_images: Transthoracic echocardiography image shows severe eccentric aortic regurgitation.. Note: Mosaic pattern represents the eccentric severe AR jet.
case_images: 10.1177_2050313X251316992-fig1.jpg
case_images: PMC11783490_01_10.1177_2050313X251316992-fig1.jpg
case_images: fig1-2050313X251316992
case_images: The aortic annulus was 2.7 cm and the ascending aorta was 3.2 cm, with normal mitral valve anatomy and trivial mitral regurgitation, dilated left ventricle, and good left ventricular function with EF of 65% as shown in Figure 1.
case_images: Intraoperative image shows a ruptured aortic valve cusp (from its annulus).
case_images: 10.1177_2050313X251316992-fig2.jpg
case_images: PMC11783490_01_10.1177_2050313X251316992-fig2.jpg
case_images: fig2-2050313X251316992
case_images: Intraoperative findings confirmed with 2d Echo findings, which showed a tri-leaflet valve with rupture of both right coronary and non-coronary cusp from their annular attachment as shown in Figure 2 which is unique and rare and not widely reported.
case_images: PMC11783490_02
case_images: Histopathological examination slide. HPE slide shows myxomatous changes with mucopolysaccharide accumulation.. Image showing myxomatous changes, more in the central and right parts of the image.. Note: 10x magnified image, courtesy of Dept of Pathology Care Hospitals, Hyderabad.
case_images: 10.1177_2050313X251316992-fig3.jpg
case_images: PMC11783490_02_10.1177_2050313X251316992-fig3.jpg
case_images: fig3-2050313X251316992
case_images: Excised valve cusps were sent for histopathological examination which confirmed myxomatous degeneration as shown in Figure 3.