The course of very severe aortic stenosis due to bicuspid aortic valve calcinosis in a young man

Abstract

In the young patients with bicuspid aortic valve, manifestation of aortic stenosis (AS) often remains silent. Asymptomatic very severe AS makes medical decisions challenging. For the better evaluation of AS severity and estimation the indications for the surgical treatment any stress test is preferable.

We report a case history of a 46 year old male patient with successfully treated critical AS with severe heart failure (HF) that demonstrates effectiveness of the surgical treatment. Successful aortic valve replacement (AVR) was beneficial and guided to increase functional class, improve LV systolic function, normalization of the heart chambers, decreased pulmonary hypertension (PH), determined reversible left ventricle (LV) hypertrophy. Summarizing our experience, we hypothesize that surgical treatment of this patient with asymptomatic very severe AS would be helpful in increasing quality of life and avoiding manifestation of AS with critical severe HF.

Imprint

Regina Jonkaitiene, Egle Rumbinaite, Egle Kazakauskaite. The course of very severe aortic stenosis due to bicuspid aortic valve calcinosis in a young man; Cardiometry; No.6; May 2015; p.77-82; DOI:10.12710/cardiometry.2015.6.7782 Available from: www.cardiometry.net/no6-may-2015/bicuspid-aortic-valve-calcinosis