Key result
3D TEE and MDCT accurately diagnose a unicuspid aortic valve misdiagnosed as bicuspid by TTE.
Why the study?
Does 3D TEE improve the diagnostic accuracy of unicuspid aortic valve compared to TTE in an asymptomatic patient?
Case Report (n=1)
Does 3D TEE improve the diagnostic accuracy of unicuspid aortic valve compared to TTE in an asymptomatic patient?
3D TEE provides superior diagnostic precision over standard TTE for identifying rare congenital anomalies like unicuspid aortic valves.
Unicuspid aortic valve (UAV) is a rare congenital anomaly of aorta associated with a faster progress of valvular dysfunction, aortic dilatation and with necessity for more frequent controls and precise evaluation Asymptomatic 35 year old man had abnormal systolic diastolic murmur on aortic valve during routine examination. Initial diagnostic with transthoracic echocardiography (TTE) supposed bicuspid aortic valve, while three-dimensional transesophageal echocardiography (3D TEE) and multidetector computed tomography defined unicuspid, unicomissural aortic valve with moderate aortic stenosis and regurgitation. This case report confirmed that 3D TEE gives us opportunity for early, improved and precise diagnosis of UAV.
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Mladenović et al. (2018) conducted a case report in Unicuspid aortic valve (n=1). Three-dimensional transesophageal echocardiography (3D TEE) and multidetector computed tomography vs. Transthoracic echocardiography (TTE) was evaluated on Diagnosis of unicuspid, unicomissural aortic valve. Three-dimensional transesophageal echocardiography and multidetector computed tomography accurately diagnosed a unicuspid aortic valve initially misdiagnosed as bicuspid by transthoracic echocardiography.
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