Key result
A 48-year-old woman with a bicuspid aortic valve, aortic regurgitation, and left ventricular enlargement (LVEF 51%) presents for evaluation of treatment options.
Why the study?
How should a 48-year-old woman with a bicuspid aortic valve, aortic regurgitation, left ventricular enlargement, and an enlarged ascending aorta be treated?
Case Report (n=1)
How should a 48-year-old woman with a bicuspid aortic valve, aortic regurgitation, left ventricular enlargement, and an enlarged ascending aorta be treated?
Presents a clinical vignette of a patient with a bicuspid aortic valve, significant aortic regurgitation, and left ventricular enlargement to discuss management strategies.
Highlights need for individualized decisions in bicuspid AR with LV enlargement; leaves open optimal intervention thresholds.
A 48-year-old woman who reports mild fatigue but no dyspnea, chest pain, or palpitation is found to have a diastolic murmur. Doppler color-flow echocardiography shows a bicuspid aortic valve with an eccentric jet of aortic regurgitation by color-flow imaging. The left ventricle is moderately enlarged, with an end-diastolic diameter of 66 mm (or 39 mm per square meter of body-surface area) and an end-systolic diameter of 46 mm (or 27 mm per square meter); the ejection fraction is 51 percent, and the ascending aorta is enlarged, at 48 mm. How should this patient be treated?
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Enriquez‐Sarano et al. (2004) conducted a case report in Aortic Regurgitation (n=1). A 48-year-old woman with a bicuspid aortic valve, aortic regurgitation, and left ventricular enlargement (LVEF 51%) presents for evaluation of treatment options.
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