title: A Rare Aortic Valve Congenital Abnormality in Association with Coarctation of the Aorta.
abstract: The case is reported of a 25-year-old woman who presented with an episode of syncope on minimal exertion. She had undergone a repair of coarctation of the aorta at one year of age. Transesophageal echocardiography showed a unicuspid aortic valve (UAV) with critical stenosis. The patient underwent aortic valve replacement (AVR) with a bioprosthetic porcine valve. Although UAV is associated with other congenital cardiac abnormalities, its association with coarctation of the aorta is very rare. The currently available literature and treatment options are discussed. It appears that there is an association of UAV with coarctation, and the diagnosis of one condition should lead to an evaluation of the other.
authors.affiliation: Western Michigan University Homer Stryker School of Medicine, Kalamazoo, Michigan.
authors.forename: Yashwant
authors.initials: Y
authors.lastname: Agrawal
authors.affiliation: Department of Cardiology, Borgess Medical Center/Michigan State University, Kalamazoo, Michigan, USA.
authors.forename: Jagadessh
authors.initials: J
authors.lastname: Kalavakunta
authors.affiliation: Department of Cardiology, Borgess Medical Center/Michigan State University, Kalamazoo, Michigan, USA.
authors.forename: Vishal
authors.initials: V
authors.lastname: Gupta