Active infective endocarditis of a bicuspid aortic valve causing left ventricular outflow tract pseudoaneurysm and right atrium shunt: A case report

Left Ventricular ◽

Outflow Tract ◽

Ventricular Outflow Tract Obstruction ◽

Different Levels

Introduction 68Subvalvar aortic stenosis (AS) 70Bicuspid aortic valve 72Supravalvar AS 74LVOTO may occur at different levels: • Subvalvular.• Valvular—including bicuspid aortic valve.• Supravalvular.• Coarctation— see p.118.Effects of LVOTO, irrespective of site of lesion, are: • ↑ afterload on LV....

Two Diverticula of the Left Ventricular Outflow Tract Adjacent to the Commissures of a Bicuspid Aortic Valve

Congenital Heart Disease ◽

10.1111/j.1747-0803.2006.00058.x ◽

2006 ◽

Vol 1 (6) ◽

pp. 332-334 ◽

Cited By ~ 2

Author(s):

Unni Krishnan ◽

Philip J. Kilner ◽

Andrew Money-Kyrle ◽

Punit Ramrakha

Keyword(s):

Aortic Valve ◽

Bicuspid Aortic Valve ◽

Left Ventricular ◽

Outflow Tract ◽

Left Ventricular Outflow

Progressive dilation of the diameter of the aortic root in adults with a bicuspid aortic valve

Cardiology in the Young ◽

10.1017/s1047951103001112 ◽

2003 ◽

Vol 13 (6) ◽

pp. 526-531 ◽

Cited By ~ 18

Author(s):

Annie Dore ◽

Marie-Claude Brochu ◽

Jean-François Baril ◽

Marie-Claude Guertin ◽

Lise-Andrée Mercier

Keyword(s):

Aortic Valve ◽

Bicuspid Aortic Valve ◽

Aortic Root ◽

Normal Population ◽

Left Ventricular ◽

Ascending Aorta ◽

Rate Of Progression ◽

Left Ventricular Outflow

Background: To determine the rate of progression of dilation of the aortic root in adults with a bicuspid aortic valve. Methods: We reviewed retrospectively the transthoracic echocardiograms of 50 adults with a bicuspid aortic valve. Each patient had had at least two examinations made 12 months apart. Measurements were taken at four levels: at the basal attachment of the leaflets of the valve within the left ventricular outflow tract, at the widest point of the sinuses of Valsalva, at the sinutubular junction, and in the ascending aorta 1 cm beyond the sinutubular junction. Results: Progressive dilation occurred at all levels, ranging from 0.3 mm/yr at the basal attachment within the left ventricular outflow tract to 1.0 mm/yr, 1 cm beyond sinutubular junction. These rates of dilation were greater than the reported rate of 0.8 mm per decade in the normal population. The rate of dilation found in the ascending aorta 1 cm beyond the sinutubular junction was significantly greater than at the other sites (p = 0.005). The 21 patients with baseline measurements greater than 34 mm had a significantly higher rate of progression (p = 0.007). Sex, age, and the degree of valvar obstruction or regurgitation did not significantly influence the rate of progression of dilation. Conclusion: There is a significantly higher rate of dilation of the aortic root in adults with a bicuspid aortic valve when compared to the normal population. Periodic evaluation of the ascending aorta is essential in these patients, even after replacement of the aortic valve. Other imaging modalities should be considered if the region beyond the sinutubular junction is not well visualized by transthoracic echocardiography.

Accessory Mitral Valve Associated With Coarctation of the Aorta and Bicuspid Aortic Valve Without Left Ventricular Outflow Tract Obstruction

Journal of Cardiothoracic and Vascular Anesthesia ◽

10.1053/j.jvca.2011.09.025 ◽

2013 ◽

Vol 27 (3) ◽

pp. 549-550

Author(s):

Christopher K. Gilbertson ◽

Paul W. Weldner ◽

Christopher W. Connors

Keyword(s):

Mitral Valve ◽

Aortic Valve ◽

Bicuspid Aortic Valve ◽

Coarctation Of The Aorta ◽

Left Ventricular ◽

Outflow Tract ◽

Ventricular Outflow Tract Obstruction ◽

Left Ventricular Outflow

Radiofrequency Ablation of a Nonsustained Ventricular Tachycardia Arising from the Left Coronary Cusp of a Bicuspid Aortic Valve: A Case Report

Cardiology ◽

10.1159/000447962 ◽

2016 ◽

Vol 135 (4) ◽

pp. 236-239

Author(s):

Konstantinos E. Iliodromitis ◽

Sokratis Pastromas ◽

Stylianos Tzeis ◽

George Andrikopoulos

Keyword(s):

Ventricular Tachycardia ◽

Case Report ◽

Radiofrequency Ablation ◽

Aortic Valve ◽

Bicuspid Aortic Valve ◽

Left Ventricular ◽

Nonsustained Ventricular Tachycardia ◽

Coronary Cusp

Radiofrequency ablation is the therapy of choice for the suppression of medically intractable symptomatic ventricular arrhythmias. Here we present the case report of a 50-year-old woman with bicuspid aortic valve (BAV) and symptomatic nonsustained ventricular tachycardia arising from the left ventricular outflow tract (LVOT). The origin of the ventricular arrhythmia was confirmed in the left coronary cusp (LCC) of the BAV. The patient underwent a successful radiofrequency ablation. LCC of a tricuspid aortic valve is a common origin of idiopathic LVOT tachycardia; however, little is known for these types of arrhythmias when located in the cusps of a BAV.

Treatment of severe aortic stenosis and left ventricular outflow tract mass with transcutaneous aortic valve implantation: a case report

European Heart Journal - Case Reports ◽

10.1093/ehjcr/ytz194 ◽

2019 ◽

Author(s):

Hesham A Naeim ◽

Waleed Saeed ◽

Ibraheem Alharbi ◽

Reda Abuelatta

Keyword(s):

Case Report ◽

Aortic Valve ◽

Severe Aortic Stenosis ◽

Transoesophageal Echocardiography ◽

Left Ventricular ◽

Aortic Valve Implantation ◽

Valve Implantation

AbstractBackgroundPercutaneous implantation of aortic valve for severe aortic stenosis (AS) in the presence of pedunculated mobile left ventricular outflow tract (LVOT) mass not reported before. In this case report, we address the feasibility of this procedure.Case summaryAn 80-year-old patient who presented with presyncope, transthoracic echocardiogram (TTE), and transoesophageal echocardiography (TOE) revealed severe calcific AS and LVOT mass measuring 2.1*1.5 cm. The patient was turned down for surgery. It was decided that transcatheter aortic valve implantation (TAVI) be performed because the valve compresses the mass against the proximal part of the interventricular septum. The mass peduncle was 1.4 cm, and it was 4 mm away from the annulus. This meant the valve was needed to be deployed 18 mm below the annulus to cover the mass completely. Gentle manipulation and direct valve deployment without preballoon dilation to decrease the possibility of fragment embolization were necessary. Self-expandable core valve deployed as low as possible, after initial deployment, the distance of LVOT covered by the valve measured by TOE 1.66 cm, the whole mass was covered, then the valve was fully deployed. The patient was extubated in the catheterization room; there was no clinical evidence of embolization. The patient was discharged home after 2 days. A follow-up TTE after 6 months showed a well-functioning valve and the LVOT mass then disappeared.DiscussionPedunculated LVOT mass should be resected surgically. In high-risk surgical patients, direct TAVI to compress the mass is feasible in experienced canters. The safety issues need more research and more cases to judge. Transoesophageal echocardiography during the procedure is mandatory to guide the valve position.

Left ventricular outflow tract obstruction

10.1093/med/9780199685288.003.0130_update_003 ◽

2016 ◽

Author(s):

Demosthenes G. Katritsis ◽

Bernard J. Gersh ◽

A. John Camm

Keyword(s):

Aortic Valve ◽

Aortic Stenosis ◽

Bicuspid Aortic Valve ◽

Left Ventricular ◽

Outflow Tract ◽

Ventricular Outflow Tract Obstruction ◽

Valvular Aortic Stenosis

Conditions that result in left ventricular outflow tract obstruction, i.e. valvular aortic stenosis, due to a bicuspid aortic valve, and subvalvular and supravalvular aortic stenosis are discussed.