A 23-year-old man presented with acute onset of dyspnea on exert. Preoperative echocardiography showed a severe regurgitation of the bicuspid aortic valve (due to prolapse of the fused cusp) creating a jet directed through the defect in the anterior leaflet of the mitral valve. Both valves were repaired. Endocarditis was excluded with cultures and polymerase chain reaction (PCR). Postoperative course was uneventful.
Keyphrases
- aortic valve
- mitral valve
- aortic stenosis
- transcatheter aortic valve replacement
- left ventricular
- aortic valve replacement
- transcatheter aortic valve implantation
- left atrial
- patients undergoing
- drug induced
- early onset
- liver failure
- computed tomography
- high frequency
- respiratory failure
- pulmonary hypertension
- mechanical ventilation
- advanced cancer
- palliative care
- atrial fibrillation
- ejection fraction
- pulmonary artery