Key result
Progressive bicuspid aortic stenosis linked to adult heart failure via increased left-to-right VSD shunting.
Why the study?
Although the association between aortic regurgitation and VSD is often described, the association between a stenosed aortic valve and VSD has been rarely observed despite both being common congenital heart defects.
Case Report (n=1)
This case highlights a rare presentation of congestive heart failure in an adult caused by an increased left-to-right shunt through a VSD secondary to progressive stenosis of a bicuspid aortic valve.
Answers are grounded in this paper and cite their sources.
Rare adult case of stenotic bicuspid aortic valve with VSD; leaves open natural history and management questions.
This report is concerned with an adult presenting with stenotic bicuspid aortic valve associated with a ventricular septal defect (VSD). The association between aortic regurgitation (AR) and VSD has often been described, but that between a stenosed aortic valve and VSD has been rarely observed, although bicuspid aortic valves and ventricular septal defects are probably the two most common congenital heart defects. The development of congestive heart failure in the presented case was considered to be due to an increase in the left to right shunt through the VSD. This was attributable to a progressive elevation in left ventricular pressure as a result of the development, with age, of stenosis of the bicuspid aortic valve.
No takes yet. Share an insight, caveat, or question.
Suzuki et al. (1994) conducted a case report in Stenotic bicuspid aortic valve associated with a ventricular septal defect and congestive heart failure (n=1). Stenotic bicuspid aortic valve associated with a ventricular septal defect was evaluated on Development of congestive heart failure. The development of congestive heart failure in an adult with a stenotic bicuspid aortic valve and ventricular septal defect was attributed to an increased left-to-right shunt due to progressive valve stenosis.
Synapse has enriched 10 related papers. Consider them for comparative context: