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Transthoracic Echo‐Doppler Appearances of Perforation of a Bicuspid Aortic Valve by Bacterial Endocarditis
Author(s) -
D'CRUZ IVAN A.,
FEGHALI NASSIF T.
Publication year - 1995
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/j.1540-8175.1995.tb00560.x
Subject(s) - bicuspid aortic valve , cusp (singularity) , parasternal line , regurgitation (circulation) , medicine , aortic valve , cardiology , endocarditis , perforation , aorta , anatomy , materials science , geometry , punching , mathematics , metallurgy
The echo‐Doppler diagnosis of aortic valve perforation has seldom been made before. We describe a combination of findings in a patient with severe aortic regurgitation following endocarditis of a bicuspid aortic valve, which suggests the presence of aortic cusp perforation: (A) discontinuity of cusp contour in parasternal long‐axis view; (B) emergence of aortic regurgitant jet through a cusp rather than between the two cusps; (C) fine flutter of a cusp, but not on the free apposed edges; (D) severe aortic regurgitation without flail cusp motion, following bacterial endocarditis.