Collegiate Wrestler With a Bicuspid Aortic Valve and Aortic Dilation

Rahul Chhana; Christopher Rymer; Mahesh Vidula; Kristopher Fayock; Helene Glassberg; Chris Kusmiesz; Mustafa Husaini; Sanjay Sivalokanathan; Neel Chokshi; Sheela Krishnan

doi:10.1016/j.jaccas.2022.09.010

Collegiate Wrestler With a Bicuspid Aortic Valve and Aortic Dilation

JACC Case Rep. 2022 Nov 16;4(22):1548-1552. doi: 10.1016/j.jaccas.2022.09.010.

Affiliations

¹ Department of Medicine, Cardiovascular Division, Washington University School of Medicine, St. Louis, Missouri, USA.
² Section of Hospital Medicine, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
³ Sports Cardiology and Fitness Program, Division of Cardiovascular Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Abstract

Bicuspid aortic valve and aortopathy are generally considered contraindications to isometric exercise. For athletes with mild disease at low risk of adverse events, a shared decision-making approach for continued sports participation is reasonable. We present a case of a collegiate wrestler with bicuspid aortic valve and aortopathy to illustrate shared decision making. (Level of Difficulty: Intermediate.).

Keywords: ACC, American College of Cardiology; AHA, American Heart Association; BAV, bicuspid aortic valve; SDM, shared decision making; aortopathy; athletes; bicuspid aortic valve; sports cardiology.

Publication types

Case Reports