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A rare mechanism of aortic regurgitation in a young patient
Author(s) -
Guner Ahmet,
Gunduz Sabahattin,
Onal Cagatay,
Akgun Taylan,
Bayam Emrah,
Candan Ozkan,
Ozkan Mehmet
Publication year - 2017
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.13741
Subject(s) - bicuspid aortic valve , cardiology , medicine , regurgitation (circulation) , ventricle , ejection fraction , stenosis , aortic valve , bicuspid valve , heart failure
A 19‐year‐old male patient was admitted to our institute with dyspnea. His medical history had no rheumatic fever or infective endocarditis. Physical examination revealed a diastolic murmur over the aortic area, rales of bilateral lungs. Bedside transthoracic echocardiography ( TTE ) revealed a severe aortic regurgitation ( AR ) without aortic valve stenosis and a moderately dilated left ventricle accompanied by an ejection fraction of 55%. The aortic valve could not be clearly demonstrated as either bicuspid or tricuspid. Congenital AR typically occurs in conjunction with an additional cardiac abnormality or aortic valve stenosis. Furthermore, bicuspid aortic valves are observed in the majority of patients. The aortic valve is created from the truncus ridge of the truncus arteriosus while the embryological development.