Infundibular ventricular septal defect, aneurysm of the sinus of Valsalva, and bicuspid aortic valve
in a caucasian male.
We describe a 14-year-old girl having a combination of a bicuspid aortic valve
and an aneurysm of the left sinus of Valsalva with severe aortic stenosis, moderate regurgitation, and an aneurysm of the ascending aorta.
Having a bicuspid aortic valve
(shown above), a congenital defect, increases the risk of aortic stenosis.
Among admitted cases, prominent omissions were myocarditis 7 followed by Hypertrophic cardiomyopathy 2, congenital bicuspid aortic valve
stenosis 2, Pneumothorax 1, cerebral tuberculosis 1.
His CT scan findings suggested bicuspid aortic valve
, dilated aortic root and mild dilated ascending aorta, severe juxtaductal aortic coarctation, multiple mediastinal and posterior chest walls, and paravertebral and intercostal collaterals on either side bypassing coarctation with collaterals channels [Figure 2A].
The other 26 patients presented with other cardiac malformations, including ventricular septal defect (VSD) in 18, atrial septal defect in four, patent ductus arteriosus in four, bicuspid aortic valves
with or without mild stenosis in 6, mild mitral stenosis in two, Shone syndrome in one and absent right pulmonary artery with left patent ductus arteriosus in one.
Diagnosis Frequency (n) Age in years median (IQR) * Atrial septal defect 251 32(23-32) Ventricular septal defect 126 21(17-21) Patent ductus arteriosus 8 25(18-25) Pulmonary valve stenosis 17 28(18-28) D-transposition of great arteries 30 21(19-21) L-transposition of great arteries 12 24(18-24) Fontan circulation 36 20(17-20) Coarctation of aorta 13 21(16-21) Ebstein anomaly 18 27(21-27) Tetralogy of Fallot 61 21(17-21) Bicuspid aortic valve
21 26(19-26) Atrioventricular septal defect 7 23(20-23) Overall 600 24(19-24) Diagnosis Gender male/ female (%) Atrial septal defect 38.
2) Therefore, considering that this patient initially presented with acute self-limited diarrhea, we hypothesized that endocarditis may have resulted from intestinal translocation and infection of the thickened bicuspid aortic valve
2) Up to 40% of patients with bicuspid aortic valve
will also have coarctation of the aorta.
However, Dr Fletcher, a single woman who lived in New Ridley Road, Stocksfield, Northumberland, was born with a bicuspid aortic valve
, a condition which can lead to an irregular heartbeat.
An inquest into her death heard yesterday how Dr Fletcher, a single woman who lived in New Ridley Road, Stocksfield, Northumberland, was born with a bicuspid aortic valve
, which can lead to an irregular heartbeat.
Sir Magdi is joining a team of paediatric cardiac surgeons from HMC to perform an aortic valve replacement operation on a local child suffering from bicuspid aortic valve