Background Altered aortic hemodynamics associated with bicuspid aortic valve (BAV) have been implicated in the development of aortopathy in patients with congenitally altered valves[1]. Most studies have focused on the most common “right-left” bicuspid aortic valve (RL-BAV) fusion pattern [2]. This study assessed the effects of valve morphology on aortic 3D blood flow in cohorts with the most c...

OBJECTIVE Prediction of aortic dissection or rupture is extremely difficult in patients with bicuspid aortic valve. We aimed to identify clinical and echocardiography predictors of histological abnormalities of the aortic wall in patients with bicuspid aortic valve undergoing aortic surgery. METHODS We assessed the histology of the aortic wall and clinical and echocardiography variables in a ...

Quadricuspid aortic valve is a rare congenital condition that occurs not only as an isolated anomaly, but also with other cardiac defects. We describe a 10-year-old boy whose aortic stenosis was diagnosed during infancy. Transthoracic echocardiography revealed dilation of the left ventricle, valvular and subvalvular aortic stenosis, bicuspid aortic valve, aortic regurgitation, and mitral valve ...

BACKGROUND Bicuspid aortic valves are associated with valve dysfunction, ascending aortic aneurysm and dissection. Management of the ascending aorta at the time of aortic valve replacement (AVR) in these patients is controversial and has been extrapolated from experience with Marfan syndrome, despite the absence of comparative long-term outcome data. OBJECTIVES This study sought to assess whe...

The most common aortic valve congenital abnormality is observed in bicuspid aortic valve. Only a few cases of aortic valve quadricuspidy have been reported in the literature. We report a new case of endocarditis complicating a congenital quadricuspid aortic valve.

We describe the case of a 53-year-old man with a severely stenotic bicuspid aortic valve combined with an unruptured aneurysm of the left sinus of Valsalva and an aberrant left coronary artery. The patient was successfully treated with aortic valve replacement and closure of the aneurysm. It is well known that patients with a bicuspid aortic valve have an increased incidence of other congenital...

Aortic root echocardiograms were recorded from 89 patients whose aortic valves had also been adequately defined by selective angiography or viewed surgically or at autopsy. The eccentricity index (E.I.) of the aortic leaflets was measured at the onset of diastole and an E.I. of 1.3 or greater was taken as abnormal. Of 31 patients with isolated nonobstruced or mildly obstructed bicuspid aortic v...

OBJECTIVE To determine the relative importance of the different causes of isolated aortic valve stenosis in a surgical series, and to relate these to patient characteristics including the rate of insertion of bypass grafts for coronary artery disease. DESIGN Survey of the clinical and pathological data on patients undergoing aortic valve replacement for isolated stenosis. SETTING Tertiary c...

[1] Wang Y, Wu B, Dong L, Wang C, Shu X. Acute coronary involvement in acute type A aortic dissection: a subtype analysis of bicuspid aortic valve andMarfan syndrome. Int J Cardiol 2013 [Manuscript No.: IJC-D-13-03341]. [2] Chen YF, Chien TM, Yu CP, et al. Acute aortic dissection type A with acute coronary involvement: a novel classification. Int J Cardiol 2013;168:4063–9. [3] Bonser RS, Ranasi...

Methods 46 patients with severe AS without obstructive coronary artery disease awaiting aortic valve replacement were studied. Transthoracic echocardiography (TTE) was used to assess aortic valve area using the continuity equation, peak aortic velocity and mean valve gradient. CMR was used to assess aortic valve morphology and to enable planimetry of aortic valve area. Two SSFP cines of the aor...