A case of bicuspid aortic valve with coarctation of aorta

Authors

  • Shubhadev Bhattacharya Department of Cardio Thoracic Vascular Surgery, PGIMER/ Dr. Ram Manohar Lohia Hospital, New Delhi, India
  • Sudesh Kumar Department of Cardio Thoracic Vascular Surgery, PGIMER/ Dr. Ram Manohar Lohia Hospital, New Delhi, India
  • Narender Singh Jhajhria Department of Cardio Thoracic Vascular Surgery, PGIMER/ Dr. Ram Manohar Lohia Hospital, New Delhi, India
  • Vijay Kumar Gupta Department of Cardio Thoracic Vascular Surgery, PGIMER/ Dr. Ram Manohar Lohia Hospital, New Delhi, India

DOI:

https://doi.org/10.18203/2349-2902.isj20172035

Keywords:

Bicuspid Aortic Valve, Coarctation of Aorta

Abstract

A 28-year-old male patient presented with angina on exertion for 3 years, dyspnea on exertion for 2 years. On examination patient was average built, having slow rising pulse, with ejection systolic murmur over aortic area, radiating to carotids. Blood investigations were normal, ECG was suggestive of LV strain pattern, Chest X ray was suggestive of LV type apex with notching of inferior margins of ribs. 2D Echocardiography was done, and was suggestive of thickened calcified bicuspid aortic valve, aortic annulus 21 mm, ascending aorta 42 mm, Gradient across aortic valve Peak 100 mmHg, Mean 64 mmHg. Patient was referred for Aortic valve replacement. However, in view of borderline dilated ascending aorta, CT aortography was done, and was suggestive of membranous juxtaductal Coarctation of aorta with no antegrade contrast opacification suggesting total aortic occlusion with reformation of aorta through large systemic thoracic wall and mediastinal collaterals.

Author Biographies

Shubhadev Bhattacharya, Department of Cardio Thoracic Vascular Surgery, PGIMER/ Dr. Ram Manohar Lohia Hospital, New Delhi, India

Senior Resident, Department of Cardio Thoracic Vascular Surgery

Sudesh Kumar, Department of Cardio Thoracic Vascular Surgery, PGIMER/ Dr. Ram Manohar Lohia Hospital, New Delhi, India

Senior Resident, Department of Cardio Thoracic Vascular Surgery

Narender Singh Jhajhria, Department of Cardio Thoracic Vascular Surgery, PGIMER/ Dr. Ram Manohar Lohia Hospital, New Delhi, India

Professor, Department of Cardio Thoracic Vascular Surgery

Vijay Kumar Gupta, Department of Cardio Thoracic Vascular Surgery, PGIMER/ Dr. Ram Manohar Lohia Hospital, New Delhi, India

Professor, Department of Cardio Thoracic Vascular Surgery

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Published

2017-05-24