Bicuspid aortic stenosis echocardiogram

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Two dimensional echocardiography plays an important role in the diagnosis of bicuspid aortic stenosis.

Echocardiography in Bicuspid aorta

• Short axis is useful, doming of valve can be seen on the parasternal long axis.
• Important to diagnose because of risk of endocarditis and calcification with progressive valvular stenosis.
• Only 25% of patients with congenital aortic stenosis{AS) have aortic insufficiency(AI) compared with 75% of cases with acquired AS.
• In 75% of those with acquired AS, there is associated mitral valve disease. This association is rare in congenital AS.
• Congenital AS may occur with one or three cusps, but two cusps is the most common.
• Echocardiographic features that are associated with a poor prognosis in asymptomatic patients and progression to a symptomatic state include moderate to severe calcification and a peak aortic velocity > 4.0 M/s.

• Bicuspid Aortic Valve by Transesophageal Echo 1

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• Bicuspid Aortic Valve by Transesophageal Echo 2

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• Bicuspid Aortic Valve by Transesophageal Echo 3

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• Bicuspid Aortic Valve by Transesophageal Echo 4

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• Bicuspid Aortic Valve by Transesophageal Echo 5

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• Bicuspid Aortic Valve by Transesophageal Echo 6

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• Bicuspid Aortic Valve by Transesophageal Echo 7

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