Replacement of Regurgitant Bicuspid Aortic Valve in a Dilated, Non-Compacted Left Ventricle

Aldo L. Schenone, Aaron Cohen, Gosta Pettersson, David Majdalany

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Bicuspid aortic valve (BAV) is the most common form of congenital heart disease, with 20% of asymptomatic adults with BAV presenting with significant valve insufficiency. Yet, limited data exist regarding surgical indications and outcomes when BAV is accompanied by left ventricular dilation, systolic dysfunction, or left ventricle non-compaction (LVNC) syndrome. We present a case of dilated cardiomyopathy due to severe BAV regurgitation and partial LVNC syndrome and the decision to undergo aortic valve replacement. Our patient represents the most extreme documented case of regurgitant BAV with dilated, dysfunctional, and partially non-compacted left ventricle. Yet, surgical intervention provided improvement in systolic performance and ventricular dimensions.

Original languageEnglish (US)
Pages (from-to)389-393
Number of pages5
JournalWorld Journal for Pediatric and Congenital Heart Surgery
Volume7
Issue number3
DOIs
StatePublished - 2015
Externally publishedYes

Keywords

  • bicuspid aortic valve
  • non-compaction left ventricle
  • surgical outcome
  • systolic dysfunction

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health
  • Cardiology and Cardiovascular Medicine

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