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European Journal of Echocardiography 2007 8(6):503-504; doi:10.1016/j.euje.2006.08.011
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Copyright © 2007, The European Society of Cardiology

Is this a double aortic valve?

Cheuk F. Chan*, George Sutherlanda and Nicholas Bunceb

St George's Hospital, Blackshaw Road, London SW17 0QT, UK

Received 29 June 2006; received in revised form 29 July 2006; accepted after revision 11 August 2006.

* Corresponding author. 63 Parkside, Vanbrugh Fields, Blackheath, London SE3 7QF, UK. Tel.: +44 2088581306/7989853090. cheuk007{at}hotmail.com george.sutherland{at}stgeorges.nhs.uk nick.bunce{at}stgeorges.nhs.uk

Keywords: Aortic valve; Transthoracic echo; Dissection; Computerised tomography

a Tel.: +44 208 725 1397; fax: +44 208 725 0735. Back

b Tel.: +44 208 725 2420; fax: +44 208 725 0735. Back

A 52-year-old woman presented with a 2-day history of breathlessness. Ten years earlier, she had undergone repair of an abdominal aortic aneurysm. A chest X-ray showed cardiomegaly, a right-sided pleural effusion and pulmonary venous congestion. An echocardiogram demonstrated preserved left ventricular systolic function with moderate aortic regurgitation. Examination of the ascending thoracic aorta (Fig. 1a–c) identified an apparent double aortic valve. A computerised tomogram (Fig. 2) confirmed a type A aortic dissection that involved the ascending thoracic aorta, aortic arch involving the brachiocephalic and left subclavian arteries, and extending into the abdominal aorta. The patient refused surgical intervention and was treated with medical therapy. She was subsequently reviewed in out-patients at 3 months and remains well with mild dyspnoea.


Figure 1
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  		Figure 1 (a) Parasternal short axis view showing the patient's tricuspid aortic valve, (b) parasternal short axis view of an apparent double aortic valve, and (c) parasternal long axis view of an apparent double aortic valve.

 


Figure 2
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  		Figure 2 Computerised tomogram of the abdominal aorta dissection.

 

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Supplementary material for this article may be found, in the online version, at doi:10.1016/j.euje.2006.08.011.


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a Tel.: +44 208 725 1397; fax: +44 208 725 0735. Back

b Tel.: +44 208 725 2420; fax: +44 208 725 0735. Back


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This Article
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