dc.contributor |
Háskóli Íslands |
dc.contributor |
University of Iceland |
dc.contributor.author |
Ingason, Arnar |
dc.contributor.author |
Sigfússon, Gunnlaugur |
dc.contributor.author |
Torfason, Bjarni |
dc.date.accessioned |
2018-12-07T14:33:36Z |
dc.date.available |
2018-12-07T14:33:36Z |
dc.date.issued |
2018-06-07 |
dc.identifier.citation |
Ingason, A. B., Sigfusson, G., & Torfason, B. (2018). Congenital aortic stenosis due to unicuspid unicommissural aortic valve: a case report. Journal of Cardiothoracic Surgery, 13(1), 61. doi:10.1186/s13019-018-0755-0 |
dc.identifier.issn |
1749-8090 |
dc.identifier.uri |
https://hdl.handle.net/20.500.11815/942 |
dc.description |
Publisher's version (útgefin grein) |
dc.description.abstract |
Background
Unicuspid unicommissural aortic valve is an extremely rare congenital anomaly that usually presents in adulthood but can rarely present in infancy. We report a 17-year-old patient with congenital aortic stenosis secondary to unicuspid unicommissural aortic valve that was successfully treated with aortic valve replacement.
Case presentation
The patient was diagnosed with aortic stenosis after a murmur was heard in the newborn nursery and subsequently underwent aortic balloon valvuloplasty 6 weeks after birth. He had been regularly followed up since and underwent numerous cardiac catheterizations, including another aortic balloon valvuloplasty at age 13. During follow-up at age 17, the patient presented with symptomatic severe aortic stenosis and mild left ventricular hypertrophy. Aortic valve replacement was planned since the patient was nearly adult-sized and to reduce the risk of cardiac decompensation. During the operation an unicuspid unicommissural aortic valve was revealed. The patient recovered well post-operatively. He was discharged 5 days after the surgery in good condition and was completely symptom-free at follow-up 6 weeks later.
Conclusions
Unicuspid aortic valve is a rare congenital anomaly that can cause congenital aortic stenosis. It is seldom diagnosed pre-operatively but should be suspected in infants presenting with aortic stenosis. |
dc.language.iso |
en |
dc.publisher |
Springer Nature |
dc.relation.ispartofseries |
Journal of Cardiothoracic Surgery;13(1) |
dc.rights |
info:eu-repo/semantics/openAccess |
dc.subject |
Unicuspid aortic valve |
dc.subject |
Congenital aortic stenosis |
dc.subject |
Aortic valve replacement |
dc.subject |
Case report |
dc.subject |
Blóðrásarsjúkdómar |
dc.title |
Congenital aortic stenosis due to unicuspid unicommissural aortic valve: a case report |
dc.type |
info:eu-repo/semantics/article |
dcterms.license |
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
dc.description.version |
Peer Reviewed |
dc.identifier.journal |
Journal of Cardiothoracic Surgery |
dc.identifier.doi |
10.1186/s13019-018-0755-0 |
dc.relation.url |
http://link.springer.com/content/pdf/10.1186/s13019-018-0755-0.pdf |
dc.contributor.department |
Læknadeild (HÍ) |
dc.contributor.department |
Faculty of Medicine (UI) |
dc.contributor.school |
Heilbrigðisvísindasvið (HÍ) |
dc.contributor.school |
School of Health Sciences (UI) |