Giant fenestration and fibrous strand rupture of aortic valve without massive regurgitation

We present a case of a giant fenestration and a fibrous strand rupture of the aortic valve without massive regurgitation. A 56-year-old woman, was referred for coronary revascularization, had II–III degree aortic regurgitation without symptoms of heart failure. On the intraoperative direct view, the non coronary cusp (NCC) had the giant fenestration and the left coronary cusp (LCC) had the fibrous strand rupture. There was no severe inflammation, thrombi, or vegetation. Finally, she had coronary artery bypass surgery and aortic valve replacement.