Cor Vasa 2011, 53(12):731-733 | DOI: 10.33678/cor.2011.180
Unicuspid aortic valve in a patient with severe stenosis and dilatation of ascending aorta
- Klinika kardiologie, Institut klinické a experimentální medicíny, Praha, Česká republika
Unicuspid aortic valve is a rare congenital anomaly that is often associated with severe valvular stenosis, regurgitation or a combination of both. Other complications include dilatation of ascending aorta and increased risk of its dissection. We present a case of 53-year-old man with unicuspid aortic valve with severe stenosis and dilatation of ascending aorta. The patient underwent successful aortic valve replacement together with replacement of ascending aorta. The aim of this report is to review diagnostics and treatment of this anomaly.
Keywords: Unicuspid aortic valve; Aortic stenosis; Aorta; Aortic valve replacement
Published: December 1, 2011 Show citation
References
- Novaro GM, Mishra M, Griffin BP. Incidence and echocardiographic features of congenital unicuspid aortic valve in an adult population. J Heart Valve DiS 2003;12:674-678.
Go to PubMed... - Roberts C. Dissection of the aorta associated with congenital malformation of the aortic valve. J Am Coll Cardiol 1991;17:712-16.
Go to original source... - Agnihotri AK, Desai SC, Lai YQ, et al. Two distinct clinical presentations in adult unicuspid aortic valve. J Thorac Cardiovasc Surg 2006;131:1169-1170. Go to original source... Go to PubMed...
- Falcone MW, et al. Congenital aortic stenosis resulting from a unicommissural valve. Circulation 1971;44:272-280. Go to original source... Go to PubMed...
- Roberts WC, Ko JM. Frequency by decades of unicuspid, bi-, and tricuspid aortic valves in adults having isolated aortic valve replacement for aortic stenosis, with or without associated aortic regurgitation. Circulation 2005;111:920-925. Go to original source... Go to PubMed...
- Ishigami H, et al. A case of unicuspid aortic valve associated with a single coronary artery and ventricular septal defect. J Med Ultrasonics 2005;35:65-70. Go to original source... Go to PubMed...
- Collins MJ, Butany J, Borger MA, et al. Implications of a congenitally abnormal valve: a study of 1025 consecutively excised aortic valves. J Clin Pathol 2008;61:530-536. Go to original source... Go to PubMed...
- Butany J, Vaideeswar P, Dixit V, et al. Ascending aortic aneurysms in unicommissural aortic valve disease. Cardiovasc Pathol 2009;18:11-18. Go to original source... Go to PubMed...
- Yuan S-M, Jing H, Lavee J. The unicuspid aortic valve. Cardiovasc J Africa 2010;21:113-114.
- Murphy BA, Groban L, Kon ND. Diagnosis of unicuspid aortic valve using transesophageal echocardiography. J Cardiothorac Vasc Anesth 2003;17:82-83. Go to original source... Go to PubMed...
- Dursun M, Yilamaz S, Sayin OA, et al. Combionation of unicuspid aortic valve, aortic coarctation, and aberant right subclavian artery in a child: MR imaging and CTA findings. Cardiovasc Intervent Radiol 2007;30:547-549. Go to original source... Go to PubMed...
- Ucak A, et al. Left sinus of Valsalva aneurysm in an adult with congenital unicuspid aortic valve. Int J Cardiol 2011;149:e21-e23. Go to original source... Go to PubMed...
- Murphy BA, Groban L, Kon ND. Diagnosis of a unicuspid aortic valve using transesophageal echocardiography. J Cardiothor Vasc Anest 2003;17:82-83. Go to original source... Go to PubMed...
- Hlubocký J, et al. Bikuspidalizace unikuspidální aortální chlopně jako alternativa její náhrady. Cor Vasa2010;52:365-366. Go to original source...
- Schäfers HJ, Aicher D, Riodionycheva S, et al. Bicuspidization of the unicuspid aortic valve: a new reconstructive approach. Ann Thorac Surg 2008;85:2012-2018. Go to original source... Go to PubMed...