Functionally unicuspid aortic valve in an adult: Case report and literature review

Curr Probl Cardiol. 2024 Feb;49(2):102223. doi: 10.1016/j.cpcardiol.2023.102223. Epub 2023 Nov 30.

Abstract

Aortic stenosis is one of the most prevalent cardiac valvular diseases throughout the world and has a significant impact on quality of life. While there are several etiologies, we will be discussing the case of a male in his mid-thirties of southeast Asian descent with a bicuspid aortic valve which was found to be functionally unicuspid and complicated by aortic dilation. Following a comprehensive review of literature, it appears this subset of aortic stenosis is not commonly encountered. In addition to presenting this fascinating case, we will review the epidemiology, classification and management of aortic stenosis. Furthermore, we will examine the latest evidence-based literature on bicuspid aortic valve and unicuspid aortic valve and discuss interventions and diagnostic tools that may improve clinical prognosis.

Keywords: Aortic dilation; Aortic stenosis; Aortic valve replacement; Bicuspid aortic valve; Echocardiography; Unicuspid aortic valve.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Aortic Valve / diagnostic imaging
  • Aortic Valve / surgery
  • Aortic Valve Stenosis* / diagnosis
  • Aortic Valve Stenosis* / etiology
  • Aortic Valve Stenosis* / surgery
  • Bicuspid Aortic Valve Disease* / complications
  • Heart Valve Diseases* / diagnosis
  • Humans
  • Male
  • Quality of Life

Supplementary concepts

  • unicuspid aortic valve