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Teaching File Case 39

42-year-old male with a heart murmur

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Cardiovascular MRI in Practice
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Echocardiography was nondiagnostic.

The left ventricular cavity size and wall thickness appear normal, as does the regional and global left ventricular function. The right ventricle is normal as well.

The 3-chamber view demonstrates turbulence in the region of aortic valve, with apparent thickening of the valve leaflets. A small field-of-view cine image through the aortic valve demonstrates a bicuspid configuration of the valve. Although three commisures appear to be present, the valve is bicuspid.

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References

  1. Zeppilli, P., et al. Bicuspid aortic valve: an innocent finding or a potentially life-threatening anomaly whose complications may be elicited by sports activity? J Cardiovasc Med (Hagerstown). 2006;7(4):282–7.

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  2. Braverman, A.C., et al. The bicuspid aortic valve. Curr Probl Cardiol. 2005;30(9):470–522.

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  3. Roberts, W.C. and J.M. Ko, Frequency by decades of unicuspid, bicuspid, and tricuspid aortic valves in adults having isolated aortic valve replacement for aortic stenosis, with or without associated aortic regurgitation. Circulation. 2005;111(7):920–5.

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  4. Waters, E.A., S.D. Caruthers, and S.A. Wickline, Correlation analysis of stenotic aortic valve flow patterns using phase contrast MRI. Ann Biomed Eng. 2005;33(7):878–87.

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© 2008 Springer-Verlag London Limited

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(2008). Teaching File Case 39. In: Cardiovascular MRI in Practice. Springer, London. https://doi.org/10.1007/978-1-84800-090-2_47

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  • DOI: https://doi.org/10.1007/978-1-84800-090-2_47

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84800-089-6

  • Online ISBN: 978-1-84800-090-2

  • eBook Packages: MedicineMedicine (R0)

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