Key result
Mechanical aortic valve replacement via an upper hemi-sternotomy was performed in a 19-year-old patient with a symptomatic unicuspid aortic valve.
Why the study?
Definitive management for unicuspid aortic valve is surgical intervention, but due to its rarity, long-term surgical outcomes and overall prognosis are not known.
Case Report (n=1)
Highlights the successful surgical management of a rare unicommissural unicuspid aortic valve in a symptomatic young adult.
May support upper hemi-sternotomy for mechanical AVR in young unicuspid valve patients; single case leaves open need for larger studies.
Unicuspid aortic valve (UAV) is a rare congenital cardiac anomaly. There are two forms of UAV, including unicuspid acommissural and unicuspid unicommissural. Definitive management for UAV is surgical intervention, but due to the rarity of UAV, the long-term surgical outcomes as well as overall prognosis are not known. Here, we present the case of a 19-year-old patient who was found to have a UAV prenatally and underwent a mechanical aortic valve replacement through an upper hemi-sternotomy due to elevated aortic stenosis gradients and presence of symptoms.
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Hassanabad et al. (2024) conducted a case report in Unicuspid aortic valve (n=1). Mechanical aortic valve replacement was evaluated. Mechanical aortic valve replacement via an upper hemi-sternotomy was performed in a 19-year-old patient with a symptomatic unicuspid aortic valve.
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