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Bicuspid Aortic Valve
Santiago Martínez-Jiménez, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Abbreviations

              • Bicuspid aortic valve (BAV)
            • Definitions

              • Normal aortic valve has 3 leaflets
              • BAV has only 2 leaflets

            IMAGING

            • General Features

              • Radiographic Findings

                • CT Findings

                  • MR Findings

                    • Echocardiographic Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Staging, Grading, & Classification

                              • Gross Pathologic & Surgical Features

                                • Microscopic Features

                                  CLINICAL ISSUES

                                  • Presentation

                                    • Demographics

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Consider

                                          Selected References

                                          1. Alkadhi H et al: Cardiac CT for the differentiation of bicuspid and tricuspid aortic valves: comparison with echocardiography and surgery. AJR Am J Roentgenol. 195(4):900-8, 2010
                                          2. den Reijer PM et al: Hemodynamic predictors of aortic dilatation in bicuspid aortic valve by velocity-encoded cardiovascular magnetic resonance. J Cardiovasc Magn Reson. 12:4, 2010
                                          3. Tanaka R et al: Diagnostic value of cardiac CT in the evaluation of bicuspid aortic stenosis: comparison with echocardiography and operative findings. AJR Am J Roentgenol. 195(4):895-9, 2010
                                          4. Schaefer BM et al: The bicuspid aortic valve: an integrated phenotypic classification of leaflet morphology and aortic root shape. Heart. 94(12):1634-8, 2008
                                          5. Lewin MB et al: The bicuspid aortic valve: adverse outcomes from infancy to old age. Circulation. 111(7):832-4, 2005
                                          6. Cripe L et al: Bicuspid aortic valve is heritable. J Am Coll Cardiol. 44(1):138-43, 2004
                                          7. Ward C: Clinical significance of the bicuspid aortic valve. Heart. 83(1):81-5, 2000
                                          8. Arai AE et al: Visualization of aortic valve leaflets using black blood MRI. J Magn Reson Imaging. 10(5):771-7, 1999
                                          9. Sabet HY et al: Congenitally bicuspid aortic valves: a surgical pathology study of 542 cases (1991 through 1996) and a literature review of 2,715 additional cases. Mayo Clin Proc. 74(1):14-26, 1999
                                          10. Beppu S et al: Rapidity of progression of aortic stenosis in patients with congenital bicuspid aortic valves. Am J Cardiol. 71(4):322-7, 1993
                                          11. Brandenburg RO Jr et al: Accuracy of 2-dimensional echocardiographic diagnosis of congenitally bicuspid aortic valve: echocardiographic-anatomic correlation in 115 patients. Am J Cardiol. 51(9):1469-73, 1983
                                          12. Spindola-Franco H et al: Recognition of bicuspid aortic valve by plain film calcification. AJR Am J Roentgenol. 139(5):867-72, 1982
                                          13. Waller BF et al: Bicuspid aortic valve. Comparison of congenital and acquired types. Circulation. 48(5):1140-50, 1973
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Pathology

                                                  • Clinical Issues

                                                    TERMINOLOGY

                                                    • Abbreviations

                                                      • Bicuspid aortic valve (BAV)
                                                    • Definitions

                                                      • Normal aortic valve has 3 leaflets
                                                      • BAV has only 2 leaflets

                                                    IMAGING

                                                    • General Features

                                                      • Radiographic Findings

                                                        • CT Findings

                                                          • MR Findings

                                                            • Echocardiographic Findings

                                                              • Imaging Recommendations

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    • Staging, Grading, & Classification

                                                                      • Gross Pathologic & Surgical Features

                                                                        • Microscopic Features

                                                                          CLINICAL ISSUES

                                                                          • Presentation

                                                                            • Demographics

                                                                              • Treatment

                                                                                DIAGNOSTIC CHECKLIST

                                                                                • Consider

                                                                                  Selected References

                                                                                  1. Alkadhi H et al: Cardiac CT for the differentiation of bicuspid and tricuspid aortic valves: comparison with echocardiography and surgery. AJR Am J Roentgenol. 195(4):900-8, 2010
                                                                                  2. den Reijer PM et al: Hemodynamic predictors of aortic dilatation in bicuspid aortic valve by velocity-encoded cardiovascular magnetic resonance. J Cardiovasc Magn Reson. 12:4, 2010
                                                                                  3. Tanaka R et al: Diagnostic value of cardiac CT in the evaluation of bicuspid aortic stenosis: comparison with echocardiography and operative findings. AJR Am J Roentgenol. 195(4):895-9, 2010
                                                                                  4. Schaefer BM et al: The bicuspid aortic valve: an integrated phenotypic classification of leaflet morphology and aortic root shape. Heart. 94(12):1634-8, 2008
                                                                                  5. Lewin MB et al: The bicuspid aortic valve: adverse outcomes from infancy to old age. Circulation. 111(7):832-4, 2005
                                                                                  6. Cripe L et al: Bicuspid aortic valve is heritable. J Am Coll Cardiol. 44(1):138-43, 2004
                                                                                  7. Ward C: Clinical significance of the bicuspid aortic valve. Heart. 83(1):81-5, 2000
                                                                                  8. Arai AE et al: Visualization of aortic valve leaflets using black blood MRI. J Magn Reson Imaging. 10(5):771-7, 1999
                                                                                  9. Sabet HY et al: Congenitally bicuspid aortic valves: a surgical pathology study of 542 cases (1991 through 1996) and a literature review of 2,715 additional cases. Mayo Clin Proc. 74(1):14-26, 1999
                                                                                  10. Beppu S et al: Rapidity of progression of aortic stenosis in patients with congenital bicuspid aortic valves. Am J Cardiol. 71(4):322-7, 1993
                                                                                  11. Brandenburg RO Jr et al: Accuracy of 2-dimensional echocardiographic diagnosis of congenitally bicuspid aortic valve: echocardiographic-anatomic correlation in 115 patients. Am J Cardiol. 51(9):1469-73, 1983
                                                                                  12. Spindola-Franco H et al: Recognition of bicuspid aortic valve by plain film calcification. AJR Am J Roentgenol. 139(5):867-72, 1982
                                                                                  13. Waller BF et al: Bicuspid aortic valve. Comparison of congenital and acquired types. Circulation. 48(5):1140-50, 1973