Aortic Valve Stenosis and Atheromatous Ascending Aorta
نویسندگان
چکیده
A 78-year-old man with a history of hypertension, dyslipidemia, and diabetes mellitus was referred to our hospital for the evaluation of a systolic murmur. Echocardiography showed severe aortic stenosis with a pressure gradient of 79.7 mmHg; aortic orifice size, 0.46 cm; and regurgitation, grade III (ejection fraction, 50.5%). Computed tomography revealed marked calcification adhering to the aortic valve and ascending aorta (Picture 1). Coronary angiography revealed no stenosis. Non-obstructive angioscopy using the dual infusion method (1) revealed atheromatous agglutinated sclerosed valvular leaflets and a circular small aortic orifice (Picture 2). The agglutinated cusps did not move, and the size of the aortic orifice did not change between systolic and diastolic phases (Picture 3). The ascending aorta had a rough, bright-yellow surface with red thrombi (Picture 4). This is the first report safely using percutaneous angioscopy to reveal aortic valve stenosis and an atheromatous ascending aorta.
منابع مشابه
Bicuspid Aortic Valve: An Unusual Cause of Aneurysm of Left Coronary Sinus of Valsalva
Bicuspid aortic valve is traditionally considered an innocuous congenital anomaly. Due to a better and widespread availability of non-invasive imaging techniques, it has come to the fore that 30% of these cases develop complications, viz., valve abnormality (aortic regurgitation and stenosis), and aneurysm of aortic root and ascending aorta. Sinus of Valsalva aneurysm is an uncommon complicatio...
متن کاملNeonatal ascending aorta thrombosis: A case report
Thrombotic events are very unusual in neonatal period. This congenital anomaly may be caused by certain risk factors such as polycythemia, perinatal asphyxia, septicemia, maternal diabetes, dehydration, and low cardiac output, or it may occur upon catheterization of central lines. A 20-day-old neonate was referred to our ward with primary signs of hypertrophic cardiomyopathy (HCMP). Echocardiog...
متن کاملAortic stenosis severity is not a risk factor for poststenotic dilatation of the ascending aorta.
BACKGROUND Dilatation of the ascending aorta in aortic stenosis may be partly explained by intrinsic wall structure changes, but the relative contribution of altered hemodynamics is unclear. The aim of this study was to assess the association between ascending aortic dimensions and valve stenosis severity. METHODS AND RESULTS An analysis of echocardiographic examinations was conducted in 296 ...
متن کاملDiffuse Supravalvular Aortic Stenosis: Surgical Repair in Adulthood
We present the case of a 54-year-old woman in which a diffuse congenital supravalvular aortic stenosis (SVAS) was associated with a severe aortic valve incompetence and heavy calcification of the aortic annulus. Repair consisted in resection of the ascending aorta, patch augmentation of the hypoplastic aortic root and annulus, placement of a 20 mm Dacron tubular graft (Vascutek, Renfrewshire, U...
متن کاملFactors Related to the Need for Surgery after the Diagnosis of Bicuspid Aortic Valve: One Center´s Experience under a Conservative Approach
BACKGROUND AND AIM Bicuspid aortic valve (BAV) increases the risk of aortic valve dysfunction and ascending aorta aneurysm and, consequently, the need for aortic valve replacement and/or aortic repair. However, there is no universal consensus about the surgical criteria and the predictors for surgery. The aim of this study was to investigate related factors to the need for surgery in the settin...
متن کامل