Users Online: 481 Home Print this page Email this page Small font sizeDefault font sizeIncrease font size  
Home | About us | Editorial board | Search | Ahead of print | Current issue | Archives | Submit article | Instructions | Subscribe | Contacts | Login 
Ahead of Print

Aortic dissection masquerading as a bicuspid aortic valve

 Department of Anesthesiology, University of North Carolina, Chapel Hill, North Carolina, USA

Correspondence Address:
Priya Ajit Kumar,
Department of Anesthesiology, N2198 University of North Carolina Hospitals, Campus Box 7010, Chapel Hill, NC 27599-7010
Login to access the Email id

Source of Support: None, Conflict of Interest: None

A 37-year-old male presented to the Emergency Department with acute worsening of back pain and new onset dyspnea. Transthoracic echocardiography revealed moderate left ventricular dysfunction and a bicuspid aortic valve (BAV). In addition, he was noted to have a dilated thoracic aorta concerning for a dissection, severe aortic insufficiency (AI), and both a pericardial and pleural effusion. Magnetic resonance imaging revealed a Type A ascending aortic dissection. He was taken emergently to the operating room for repair. An intraoperative transesophageal echocardiography examination was performed which revealed a normal trileaflet AV with a Type A aortic dissection flap masquerading as a BAV. The dissection flap interfered with both the valve's function, causing severe AI, as well as the valve's appearance, causing it to look bicuspid on echocardiography.

Print this article
  Search Pubmed for
    -  Arora H
    -  Kumar PA
 Citation Manager
 Article Access Statistics
 Reader Comments
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded44    

Recommend this journal