scholarly journals The Role of Bicuspid Aortic Valve in Aortic Aneurysm Occurrence and Development

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Vitaliy Kravchenko ◽  
Ivan Kravchenko ◽  
Olha Pantas ◽  
Valentyna Zakharova
Keyword(s):  
Surgical Treatment ◽  
Aortic Valve ◽  
Aortic Aneurysm ◽  
Aortic Arch ◽  
Histological Examination ◽  
Bicuspid Aortic Valve ◽  
Ascending Aorta ◽  
Aortic Aneurysms ◽  
Ascending Aortic Aneurysm

The paper presents the data on the diagnosis of bicuspid aortic valve (BAV) disease in the patients operated for ascending aortic (AA) aneurysm. A brief historical review of the study of the BAV problem is presented; the data on the BAV incidence in the development of ascending aortic aneurysm and its dissection, the results of surgical treatment of BAV disease in patients with AA aneurysm are displayed. The objective of the research was to study the role of the bicuspid aortic valve in the occurrence (dissection) of ascending aortic aneurysms. Materials and methods The retrospective analysis of the patients operated at the institute during the period of 1.01.2013 to 1.01.2019 for ascending aortic aneurysm or aneurysms of both ascending aorta and aortic arch confirmed that aneurysm occurrence (dissection) was caused by the presence of bicuspid valve. During this time, 1120 patients were operated on for ascending aortic aneurysm or aneurysms of both ascending aorta and aortic arch. 340 (30.4%) patients with diagnosed and confirmed BAV disease were included in the analysis. BAV diagnosis was based on echocardiography with obligatory intraoperative confirmation and on the basis of histological examination. Histological examination of the fragments of the aortic wall and aortic valve taken during operations was performed in 68 (20.0%) patients. Results and discussion BAV is the most common of all cardiac failures with a prevalence of up to 2% in the population constituting up to 30-50% of cases among the patients with aortal disorders. Two-dimensional echocardiography gives better results and provides an opportunity to detect BAV in 95% of cases, which was confirmed by our studies. According to our research, cases with BAV included 30.4% of all possible aneurysm causes, and BAV as a cause of dissection was noted in 46 (13.5%) of all dissecting aneurysms. Regarding the results of the surgical treatment, 2 patients out of 340 operated at the hospital stage died constituting 0.6%. Conclusions Among all ascending aortic aneurysms or aneurysms of both ascending aorta and aortic arch, BAV was determined as their cause in 30.4% of cases. Dissection (rupture) of the aortic aneurysm occurred in 13.5% of patients with aneurysm and bicuspid valve and thus required an urgent surgery.  Patients with BAV require lifelong care.

Case 5.19

2014 ◽  
pp. 278-279
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Aortic Valve ◽  
Aortic Aneurysm ◽  
Bicuspid Aortic Valve ◽  
Aortic Root ◽  
Ascending Aorta ◽  
Ascending Aortic Aneurysm ◽  
Hemiazygos Vein ◽  
History Of

67-year-old woman with a history of bicuspid aortic valve and ascending aortic aneurysm Axial (Figure 5.19.1) and coronal (Figure 5.19.2) fat-suppressed SSFP images show midline orientation of the liver and the absence of a spleen. The IVC is also absent, with a prominent hemiazygos vein in the abdomen and azygos and hemiazygos veins in the lower chest. The aortic root and ascending aorta are dilated....

Intraoperative Detection of Ascending Aortic Dissection by Transesophageal Echocardiography in a Patient with Bicuspid Aortic Valve and Ascending Aortic Aneurysm

2015 ◽  
Vol 3 (1) ◽  
pp. 29-31
Author(s):  
Rajkumar K Vishwakarma
Keyword(s):  
Aortic Valve ◽  
Aortic Aneurysm ◽  
Aortic Dissection ◽  
Transesophageal Echocardiography ◽  
Bicuspid Aortic Valve ◽  
Ascending Aorta ◽  
Aortic Dilatation ◽  
Ascending Aortic Aneurysm ◽  
Intraoperative Detection ◽  
High Index Of Suspicion

ABSTRACT Bicuspid aortic valve is a common congenital heart defect frequently associated with complications of aortic valve and dilatation of ascending aorta. High index of suspicion is required for diagnosis of aortic dissection in patient with bicuspid aortic valve and ascending aortic dilatation. We present a case of bicuspid aortic valve with ascending aortic aneurysm in which aortic dissection was detected by intraoperative transesophageal echocardiography (TEE). A careful review of patient's preoperative computed tomography (CT) scan showed dissection flap in the ascending aorta, which was overlooked in CT reporting. We present how intraoperative TEE helped in surgical planning for the patient. How to cite this article Vishwakarma RK, Raj R, Puri GD. Intraoperative Detection of Ascending Aortic Dissection by Transesophageal Echocardiography in a Patient with Bicuspid Aortic Valve and Ascending Aortic Aneurysm. J Perioper Echocardiogr 2015;3(1):29-31.

scholarly journals Thoracic Aortic Aneurysm Growth in Bicuspid Aortic Valve Patients: Role of Aortic Stiffness and Pulsatile Hemodynamics

2019 ◽  
Vol 8 (8) ◽  
Author(s):  
Jasjit Rooprai ◽  
Munir Boodhwani ◽  
Luc Beauchesne ◽  
Kwan‐Leung Chan ◽  
Carole Dennie ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Aneurysm ◽  
Bicuspid Aortic Valve ◽  
Aortic Stiffness ◽  
Thoracic Aortic Aneurysm ◽  
Aneurysm Growth
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