scholarly journals Perforation of Bicuspid Aortic Valve mimicking Trileaflet Aortic Valve on Transesophageal Echocardiography

2014 ◽  
Vol 2 (2) ◽  
pp. 77-79
Author(s):  
Soumendu Pal
Keyword(s):  
Differential Diagnosis ◽  
Aortic Valve ◽  
Transesophageal Echocardiography ◽  
Aortic Regurgitation ◽  
Bicuspid Aortic Valve ◽  
Surgical Repair ◽  
Aortic Incompetence

ABSTRACT Endocarditis of bicuspid aortic valve (BAV) can lead to valve perforation and result in severe aortic incompetence. Perforation of valve cusps should be considered in the differential diagnosis of BAV patients presenting with AR, and the condition should not be mistaken as a regurgitant trileaflet AV on transesophageal echocardiography (TEE). Accurate preoperative characterization of the mechanism of aortic regurgitation by TEE is important for determining the type of surgical repair. How to cite this article Pal S. Perforation of Bicuspid Aortic Valve mimicking Trileaflet Aortic Valve on Transesophageal Echocardiography. J Perioper Echocardiogr 2014;2(2):77-79.

scholarly journals Ruptured Aneurysm of Sinus of the Valsalva: Case Series

2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Afsaneh Sadeghian ◽  
Hakimeh Sadeghian
Keyword(s):  
Aortic Valve ◽  
Ventricular Septal Defect ◽  
Right Ventricle ◽  
Transesophageal Echocardiography ◽  
Aortic Regurgitation ◽  
Bicuspid Aortic Valve ◽  
Transthoracic Echocardiography ◽  
Septal Defect ◽  
Sinus Of Valsalva ◽  
Sinus Of Valsalva Aneurysm

Introduction: We present three cases of ruptured sinus of Valsalva aneurysm concomitant with a cardiac lesion in 2 cases of ventricular septal defect and 1 case of bicuspid aortic valve with mild aortic insufficiency. Case presentation: In 2/3 cases, the site of ruptured sinus of Valsalva aneurysm originated from right coronary cusps and one from non-coronary cusps. Both ruptured sinus of Valsalva aneurysm from right coronary cusps communicated to right ventricle, and one that originated from non-coronary cusps ruptured to right atrium. All cases were diagnosed by transthoracic echocardiography and confirmed by transesophageal echocardiography. Two underwent the surgery, while one did not want to continue treatment. Conclusion: ruptured sinus of Valsalva aneurysm is a rare cardiac anomaly. In the Eastern countries, the most common associated anomalies with ruptured sinus of Valsalva aneurysm are ventricular septal defect and aortic regurgitation. Ruptured sinus of Valsalva aneurysm mainly originates from right coronary cusps and is ruptured into  right ventricle. Transthoracic echocardiography and transesophageal echocardiography are employed to confirm the diagnosis. In this cohort, the coexistences of ruptured sinus of Valsalva aneurysm with ventricular septal defect and aortic regurgitation (case 1), ventricular septal defect (case 2), aortic regurgitation and  bicuspid aortic valve  (case 3) are observed.

Abstract 12320: Assessment of Post-Procedural Aortic Regurgitation After Transcatheter Aortic Valve Replacement During the Procedure: An Intraprocedural Transesophageal Echocardiography Study

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Hirotsugu Mihara ◽  
Kentaro Shibayama ◽  
Hasan Jilaihawi ◽  
Yuji Itabashi ◽  
Javier Berdejo ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Transesophageal Echocardiography ◽  
Aortic Regurgitation ◽  
Valve Replacement ◽  
Transcatheter Aortic Valve Replacement ◽  
Color Doppler ◽  
Descending Aorta ◽  
Transcatheter Aortic Valve ◽  
Pulsed Wave Doppler

Introduction: The assessment of post-procedual aortic regurgitation (PAR) after transcatheter aortic valve replacement (TAVR) has not been validated. The purpose of this study was (1) to investigate the value of holodiastolic flow reversal (HDFR) in the descending aorta in patients with PAR after TAVR and (2) to determine which color Doppler parameters are useful for PAR grading using the intraprocedural transesophageal echocardiography (iTEE). Hypothesis: We hypothesized that HDFR in the descending aorta and any color Doppler parameters can delineate significant PAR after TAVR. Methods: Three hundred-eighty patients with severe aortic stenosis underwent TAVR with the Edwards SAPIEN valve with 131 pulsed-wave Doppler tracings from the descending aorta had assessed by iTEE. PAR was evaluated using 2D color Doppler by the cross-sectional area of the vena contracta (VCA) at the aortic annular plane, and by the longitudinal jet extent (mosaic signals, Figure A) compared to the location of the tip of the anterior mitral leaflet (AML). Significant PAR was defined as VCA of ≥10 mm2, corresponding to greater than a moderate grade. Results: In patients with any grade of PAR, pulsed-wave Doppler tracing from the descending aorta, jet extent and VCA were obtained in 100%, 80%, and 74%, respectively. All patients with consistent HDFR had significant PAR. By multivariate analysis, a consistent HDFR and jet extent beyond the tip of AML were independent predictors of significant PAR. A consistent HDFR and jet extent beyond the tip of AML predicted significant PAR with specificity of 100% and 97%, respectively. In the other hand, patients with both negative HDFR and jet extent of less than halfway to the tip of AML had no significant PAR with a 97% specificity. Conclusions: The presence of HDFR with each cardiac cycle and jet extent beyond the tip of AML are indicative of significant PAR.

scholarly journals A rare case of acquired aortopulmonary fistula with bicuspid aortic valve: report of successful surgical repair

2014 ◽  
Vol 2014 (nov18 1) ◽  
pp. bcr2014207374-bcr2014207374 ◽  
Author(s):  
R. K. Premchand ◽  
B. Bhaskar Rao ◽  
K. Partani
Keyword(s):  
Aortic Valve ◽  
Bicuspid Aortic Valve ◽  
Rare Case ◽  
Surgical Repair ◽  
Aortopulmonary Fistula

Transesophageal Echocardiography Through Nasal Way Diagnoses Bicuspid Aortic Valve

2005 ◽  
Vol 22 (2) ◽  
pp. 149-150 ◽  
Author(s):  
Demetrio Tallarico ◽  
Pier Andrea Chiavari ◽  
Giuseppe Campolongo ◽  
Pasquale Mollo ◽  
Vito Rizzo ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Transesophageal Echocardiography ◽  
Bicuspid Aortic Valve

Transthoracic Echocardiography to Assess Aortic Regurgitation after TAVR: A Comparison with Periprocedural Transesophageal Echocardiography

Cardiology ◽  
2016 ◽  
Vol 137 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Alexandra Goncalves ◽  
Charles Nyman ◽  
David R. Okada ◽  
Avinainder Singh ◽  
Jeffrey Swanson ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Transesophageal Echocardiography ◽  
Aortic Regurgitation ◽  
Transthoracic Echocardiography ◽  
Transcatheter Aortic Valve Replacement ◽  
Transcatheter Aortic Valve ◽  
Overall Mortality

Background: We aimed to compare periprocedural transesophageal echocardiography (TEE) with postprocedural transthoracic echocardiography (TTE) for the diagnosis of aortic regurgitation (AR). Methods and Results: TEE and TTE images of 163 transcatheter aortic valve replacement (TAVR) patients (mean age 81 ± 8 years; 56% men) were reviewed separately and blinded to each other as well as to all clinical data. The median time between TEE during TAVR (TEE/TAVR) and TTE was 4 days (IQR 2-10 days). After TAVR, 48% of the patients had at least trace AR by TEE, 56% by angiography and 67% by TTE. The majority of AR was paravalvular (78%). More patients were classified with mild-to-moderate AR by TTE than by TEE (44 vs. 22%, p < 0.01). When examining the 46 patients with AR by TTE which was not at TEE/TAVR, both systolic and diastolic blood pressure (SBP and DBP) were significantly higher during TTE than during TEE (mean ΔSBP = 9 ± 4 mm Hg and mean ΔDBP = 6 ± 2 mm Hg, p < 0.01 for both). No differences in BP between TEE and TTE were found among patients with no AR or among those who had AR in both studies. At a median follow-up of 185 days (IQR 39-424 days), the overall mortality was 17%, but this was not associated with the presence of AR on TTE or TEE. Conclusions: Patients' hemodynamic conditions may result in underdiagnosis of paravalvular regurgitation in periprocedural TEE. Our findings suggest that a postprocedural evaluation for AR by TTE could serve as a reasonable alternative to TEE for the evaluation of AR.

scholarly journals PROGRESSION OF AORTIC REGURGITATION IN BICUSPID AORTIC VALVE

2020 ◽  
Vol 75 (11) ◽  
pp. 2131
Author(s):  
Li-Tan Yang ◽  
Patricia A. Pellikka ◽  
Maurice Enriquez-Sarano ◽  
Hector I. Michelena
Keyword(s):  
Aortic Valve ◽  
Aortic Regurgitation ◽  
Bicuspid Aortic Valve
Sign in / Sign up

Export Citation Format

Share Document