A Case of Bicuspid Aortic Double Raphed Valve with Vertical Opening: A New Type of Valve Dysmorphism. Usefulness of 2 and 3-D Transesophageal Echocardiography

CASE REPORT, July 2013, VOL II ISSUE III, ISSN 2042-4884
10.5083/ejcm.20424884.97 , Cite or Link Using DOI
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D’Aloia Antonio, Vizzardi Enrico, Bonadei Ivano, Bugatti Silvia, Metra Marco

The manuscript describes a rare case of double raphe in a bicuspid aortic valve. The aortic valve appeared to be apparently composed by only two cusps but without a clear raphe definition on short axis view. A transesophageal 2D and 3D  echocardiogram examination confirmed that the aortic valve was formed by two highly redundant cusps with vertical opening and two lateral opposite symmetrical raphes confirming an extremely rare morphology of bicuspid aortic valve. The transesophageal 2D and real time 3D echocardiography provided improvement in spatial identification and orientation of the multiple raphes in this rare setting.