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(Circulation. 1963;27:422.)
© 1963 American Heart Association, Inc.

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Rupture of Aortic Valve Secondary to Aneurysm of Ascending Aorta

MORRIS J. LEVY M.D.¹; DAVID L. SIEGAL. M.D.¹; YANG WANG M.D.¹; JESSE E. EDWARDS M.D.¹

¹ From the Departments of Surgery, Medicine, and Pathology, University of Minnesota, Minneapolis, Minnesota, and the Department of Pathology, the Charles T. Miller Hospital, St, Paul. Minnesota.

A case of aneurysm of the ascending aorta, the result of cystic medial necrosis, is presented. The feature of peculiar interest is that as the diseased part of the aorta became elongated it stretched the attached aortic cusps. As a consequence, one cusp developed a gross fenestration, while the other ruptured and prolapsed.