Bicuspid aortic valve with severe aortic stenosis: a case report

  • Redoy Ranjan Resident, Department of Cardiac Surgery, BSMMU, Dhaka
  • Md Mushfiqur Rahman Resident, Department of Cardiac Surgery, BSMMU, Dhaka
  • Omar Sadeque Khan Medical Officer, Department of Cardiac Surgery, BSMMU, Dhaka
  • Md Aftabuddin Professor and Chairman, Department of Cardiac Surgery, BSMMU, Dhaka
  • Asit Baran Adhikary Professor, Department of Cardiac Surgery, BSMMU, Dhaka
Keywords: Bicuspid aortic valve, aortic stenosis, aortic valve replacement, hypertension

Abstract

A bicuspid aortic valve (BAV) can be a serious disorder of heart valve in which the valve only has two leaflets or flaps that control blood flow through the heart. Between one and two percent of all people have this defect and it affects more men than women. This report presents a case of severe aortic stenosis with mild to moderate aortic regurgitation due to bicuspid aortic valve with hypertension. A 37 years old male presented with high record of blood pressure and occasional shortness of breath on exertion. Echocardiography (Color Doppler) revealed severe aortic stenosis with mild to moderate aortic regurgitation due to bicuspid aortic valve with moderately severe concentric LV wall hypertrophy. Surgical treatment (aortic valve replacement) was scheduled based on echocardiography findings. On surgical resection a well defined bicuspid aortic valve was found with calcification and friable valve leaflet. Histopathology of valve tissue shows large areas of calcification. Patient was discharged from hospital on 7th POD with an advice to attend cardiac surgery OPD after 1 month. Aortic valve replacement must be considered in this type of lesion.

Bangladesh Med J. 2015 May; 44 (2): 105-108

Downloads

Download data is not yet available.
Abstract
736
PDF
1112

Author Biography

Redoy Ranjan, Resident, Department of Cardiac Surgery, BSMMU, Dhaka


Published
2016-04-05
How to Cite
Ranjan, R., Rahman, M. M., Khan, O., Aftabuddin, M., & Adhikary, A. (2016). Bicuspid aortic valve with severe aortic stenosis: a case report. Bangladesh Medical Journal, 44(2), 105-108. https://doi.org/10.3329/bmj.v44i2.27253
Section
Case Reports