title: Bicuspid aortic valve stenosis complicated by descending aortic dissection mimicking coarctation of the aorta.
abstract: We report a rare case of bicuspid aortic stenosis complicated by an ascending aortic aneurysm and aortic dissection of DeBakey type IIIb. A 35-year-old woman was admitted to our hospital to examine her systolic murmur identified at birth. Severe aortic stenosis, dilatation of the ascending aorta, and the narrow color flow signal in the descending aorta were detected by transthoracic echocardiography. Initially, coarctation of the descending aorta was suspected, but aortic dissection, DeBakey type IIIb, was revealed by transesophageal echocardiography. Transesophageal echocardiography is indicated when only insufficient information is available on valve and aortic morphology in patients with bicuspid aortic valve.
authors.affiliation: Department of Cardiology, National Cardiovascular Center, 5-7-1 Fujishirodai, Suita, Osaka 565-8565, Japan.
authors.forename: Yuko
authors.initials: Y
authors.lastname: Tsujita-Kuroda
authors.forename: Satoshi
authors.initials: S
authors.lastname: Nakatani
authors.forename: Keiji
authors.initials: K
authors.lastname: Hirooka
authors.forename: Motomi
authors.initials: M
authors.lastname: Andoh
authors.forename: Izuru
authors.initials: I
authors.lastname: Nakasone
authors.forename: Hisayo
authors.initials: H
authors.lastname: Yasuda
authors.forename: Hideaki
authors.initials: H
authors.lastname: Kanzaki
authors.forename: Atsushi
authors.initials: A
authors.lastname: Kawamura
authors.forename: Akihisa
authors.initials: A
authors.lastname: Hanatani
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Yasumura
authors.forename: Masakazu
authors.initials: M
authors.lastname: Yamagishi
authors.forename: Kunio
authors.initials: K
authors.lastname: Miyatake
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000150:complications / Q000000981:diagnostic imaging*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000000981:diagnostic imaging*; D001017:Aortic Coarctation / Q000000981:diagnostic imaging*; D001024:Aortic Valve Stenosis / Q000150:complications / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D005260:Female; D006801:Humans