Undiagnosed bicuspid aortic valve: a silent danger
The normal aortic valve has three leaflets, which are almost equal in size. A bicuspid aortic valve developed as a result of abnormal aortic cusp formation during early embryogenesis. Complications such as valvular stenosis or incompetence are well known. Delayed in identifying the congenital ab...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Faculty of Medicine, International Islamic University Malaysia
2012
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/43039/2/Undiagnosed_Bicuspid_Aortic_Valve_A_Silent_Danger.pdf http://irep.iium.edu.my/43039/ http://journals.iium.edu.my/imjm/index.php/eimj/index |
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| Summary: | The normal aortic valve has three leaflets, which are almost equal in size. A bicuspid aortic valve developed as
a result of abnormal aortic cusp formation during early embryogenesis. Complications such as valvular stenosis
or incompetence are well known. Delayed in identifying the congenital abnormality or the complications may
cause morbidity and mortality. We report two cases of congestive cardiac failure as the results of undiagnosed
bicuspid aortic valve with severe aortic incompetence. Both young men in their productive age without
cardiac risk factors, were unfortunate to present too late. Although one of them was lucky to survive the
ordeal, most late presentation ends up gravely. Aortic valve replacement can be offered if early detection is
made. Those with severe disease at diagnosis may require a heart transplant. |
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