Bicuspid Aortic Valve: An Unusual Cause of Aneurysm of Left Coronary Sinus of Valsalva

Iranian Journal of Medical Sciences

Euden Bhutia¹  Sunil Kishore¹  Dinesh Kumar¹  Binoy Shankar¹  Shakti Pad Das¹ 

[1] Department of Neonatology and Pediatric Medicine, PGIMER, Dr. RML Hospital, New Delhi, India

关键词: Bicuspid aortic valve;    Sinus of valsalva;    Aortic aneurysm;   

DOI  :  

学科分类：基础医学

来源: Shiraz University of Medical Sciences

【 摘 要 】

Bicuspid aortic valve is traditionally considered an innocuous congenital anomaly. Due to a better and widespread availability of non-invasive imaging techniques, it has come to the fore that 30% of these cases develop complications, viz., valve abnormality (aortic regurgitation and stenosis), and aneurysm of aortic root and ascending aorta. Sinus of Valsalva aneurysm is an uncommon complication of bicuspid aortic valve and more so those arising from the left coronary sinus are the rarest. These complications generally occur in the third or fourth decade of life.We present a case of the left sinus of Valsalva aneurysm in conjunction with bicuspid aortic valve and ascending aorta aneurysm at a very young age in a girl in her early adolescence. This case is to remind the paediatricians about the not so “innocuous image”, but the serious implications of the bicuspid aortic valve and to regularly follow these cases for early diagnosis of potential complications so as to prevent catastrophic outcomes. 

【 授权许可】

CC BY