Author: Jean-François Paul, MD, Plessis-Robinson, France
Body Region: Cardiovascular
1. Patient Presentation
- A 69-year-old man, with a history of moderate aortic regurgitation, was admitted to our
hospital with symptoms of congestive heart failure. - On physical examination, cardiac auscultation revealed a grade 3/6 diastolic murmur along the
left sternal border. - Transthoracic echocardiography showed a left ventricular hypertrophy with an enlarged cavity
(left ventricular end diastolic diameter, 70 mm), a normal left ventricular ejection fraction
(55%), and a central severe aortic regurgitation. Sigmoid aortic valves were mildly thickened,
without the usual Y-aspect closure, leading to the suspicion of an aortic valve abnormality. - Transoesophageal echocardiography and dual-source CT were performed before surgical
intervention (valve repair).