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A case of severe aortic stenosis caused by unicuspid unicommissural aortic valve.


ABSTRACT: Unicuspid aortic valve (UAV) is an extremely rare congenital malformation that frequently presents with valvular dysfunction or aortic aneurysm. Here we report the case of a 49-year-old man with severe aortic stenosis caused by UAV requiring the Bentall procedure. Two- and three-dimensional transesophageal echocardiography revealed an eccentric opening in an aortic valve and a lateral attachment to the aorta at the orifice level, suggestive of which is consistent with unicommissural UAV as confirmed by surgical findings. <Learning objective: We report a rare case of unicuspid aortic valve (UAV) requiring the Bentall procedure. This case demonstrates the utility of two- and three-dimensional transesophageal echocardiography in revealing the morphology of UAV, as confirmed by surgical findings.>.

SUBMITTER: Tanabe J 

PROVIDER: S-EPMC7520516 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature

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A case of severe aortic stenosis caused by unicuspid unicommissural aortic valve.

Tanabe Junya J   Sato Hirotomo H   Endo Akihiro A   Yoshitomi Hiroyuki H   Shimizu Koji K   Oda Teiji T   Tanabe Kazuaki K  

Journal of cardiology cases 20200611 4


Unicuspid aortic valve (UAV) is an extremely rare congenital malformation that frequently presents with valvular dysfunction or aortic aneurysm. Here we report the case of a 49-year-old man with severe aortic stenosis caused by UAV requiring the Bentall procedure. Two- and three-dimensional transesophageal echocardiography revealed an eccentric opening in an aortic valve and a lateral attachment to the aorta at the orifice level, suggestive of which is consistent with unicommissural UAV as confir  ...[more]

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