Massive Restrictive Aortic Regurgitation Caused by Aortic Chordae Tendineae Strands: Unusual Links

Abstract

Determination of the etiology of a valvular heart disease is one of the major steps of every echocardiogram. Sometimes very unusual and rare etiologies can be found. In this article we report a case of very rare cause of aortic regurgitation, caused by the presence of aortic chordae tendineae strands leading to aortic cusps restriction in young asymptomatic athlete. In this case, we discuss two major problems. The first is the challenging diagnosis of this chordae tendineae strands, the second is the evaluation of an asymptomatic severe aortic regurgitation in a competitive athlete with an enlarged left ventricle.