Preprint Case Report Version 1 This version is not peer-reviewed

A Case Report of Undiagnosed Bicuspid Aortic Valve: A Global Health Challenge

Binay Kumar Panjiyar
* ORCID logo ,
Nikita Changlani
ORCID logo ,
Akshita Kaushal
,
Saroj Kumar Jha
ORCID logo ,
Sanam Wasim Khan
,
Poshitha Kondadasula
,
Thrinatha Movva
Version 1 : Received: 9 September 2024 / Approved: 9 September 2024 / Online: 9 September 2024 (10:00:43 CEST)

How to cite: Panjiyar, B. K.; Changlani, N.; Kaushal, A.; Kumar Jha, S.; Wasim Khan, S.; Kondadasula, P.; Movva, T. A Case Report of Undiagnosed Bicuspid Aortic Valve: A Global Health Challenge. Preprints 2024, 2024090648. https://doi.org/10.20944/preprints202409.0648.v1 Panjiyar, B. K.; Changlani, N.; Kaushal, A.; Kumar Jha, S.; Wasim Khan, S.; Kondadasula, P.; Movva, T. A Case Report of Undiagnosed Bicuspid Aortic Valve: A Global Health Challenge. Preprints 2024, 2024090648. https://doi.org/10.20944/preprints202409.0648.v1

Abstract

Introduction and importance: Congenital bicuspid aortic valve (BAV) is a common cardiac malformation predisposing individuals to aortic stenosis, regurgitation, and aortopathy. This risk persists even after aortic valve replacement (AVR). Case presentation: We report a case of a male in his 60s with a history of BAV who underwent bioprosthetic aortic valve replacement (BVR) and ascending aorta/root repair in 2014. The patient was noncompliant with follow-up and presented nine years later with severe bioprosthetic aortic stenosis and an 8.0 cm ascending aortic aneurysm with no symptoms. Emergent redo BVR and aneurysm repair were successful. Clinical discussion: It should be emphasized that successful outcomes for BAV patients require a lifelong commitment to surveillance, even after surgical intervention. Noncompliance can lead to life-threatening consequences like bioprosthetic valve deterioration or progressive aortic dilation. Conclusion: This case highlights the importance of early BAV diagnosis for ongoing monitoring, accessible follow-up care after complex cardiac procedures, and addressing patient barriers to treatment adherence.

Keywords

aortic aneurysm; aortic valve replacement; aortopathy; bicuspid aortic valve; bioprosthetic valve; surveillance

Subject

Medicine and Pharmacology, Cardiac and Cardiovascular Systems

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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