Idiopathic Bradycardia in Unicuspid Unicommissural Aortic Valve Complicated with Infective Endocarditis and Aortic Root Abscess: A Case Report

Authors

  • Mohammed Nabil Abd Al Jawad Department of Cardiothoracic Surgery, Ain Shams University, Cairo, Egypt https://orcid.org/0000-0002-6648-5544
  • Khaled Refaat Department of Cardiothoracic Surgery, Ain Shams University, Cairo, Egypt
  • Mohammed Attiya Department of Cardiothoracic Surgery, Ain Shams University, Cairo, Egypt
  • Nada Abdelhakim Department of Anesthesia and ICU, Ain Shams University, Cairo, Egypt
  • Samar Abdeltawab Department of Anesthesia and ICU, Ain Shams University, Cairo, Egypt

DOI:

https://doi.org/10.1532/hsf.3671

Keywords:

Unicuspid, unicommisural, infective endocarditis, heart block, Wheat procedure

Abstract

Unicuspid aortic valves are among the rarest congenital malformations. They are classified as either acommissural or unicommissural, with the unicommissural being presented in early adulthood. Unicuspid valves share many similarities with bicuspid valves, namely increased rates of valve degeneration and calcification, making them prone to secondary aortic stenosis, regurgitation, or both. Among other similarities are the increased risk of aortic root dilatation, dissection, and left ventricular dilatation. We report our case of a 23-year-old male with unicuspid unicommissural aortic valve with aortic root and left ventricular dilatation. He successfully underwent Wheat procedure.

References

ESC Guidelines on the diagnosis and treatment of aortic diseases. 2014. European Heart Journal. 35(41):2873-2926.

Chalwade RS. 2019. Rare Case of Unicuspid Unicommissural Aortic Valve Presenting in an Adult as Infective Endocarditis, Aortic Root Abscess, and Complete Heart Block. J Indian Acad Echocardiogr Cardiovasc Imaging. 3:183-4.

Mookadam F, Thota VR, Garcia-Lopez AM, Emani UR, Alharthi MS, Zamorano J, et al. 2010. Unicuspid aortic valve in adults: a systematic review. J Heart Valve Dis. 19(1):79–85.

Mookadam F, Thota VR, Lopez AM, Emani UR, Tajik AJ. 2010. Unicuspid aortic valve in children: a systematic review spanning four decades. J Heart Valve Dis. 19(6):678–83.

Ravi D, Pir MS, Saqib N, Patel G, Abughnia H. 2019. A Rare Case of Unicuspid Aortic Valve with Postoperative Heart Block. Cureus. 11(7):e5286. Published Jul 31.

Roberts WC, Ko JM. 2005. Frequency by decades of unicuspid, bicuspid, and tricuspid aortic valves in adults having isolated aortic valve replacement for aortic stenosis, with or without associated aortic regurgitation. Circulation. 111(7):920–5.

Singh S, Ghayal P, Mathur A, et al. 2015. Unicuspid unicommissural aortic valve: an extremely rare congenital anomaly. Tex Heart Inst J. 42(3):273-276. Published Jun 1.

Yuzawa-Tsukada N, Tanaka TD, Morimoto S, Yoshimura M. 2019. Unicuspid aortic valve concomitant with aortic insufficiency presenting with infectious endocarditis: a case report. Journal of Medical Case Reports. 13(1).

Published

2021-04-23

How to Cite

Abd Al Jawad, M. N., Refaat, K. ., Attiya, M. ., Abdelhakim, N., & Abdeltawab, S. (2021). Idiopathic Bradycardia in Unicuspid Unicommissural Aortic Valve Complicated with Infective Endocarditis and Aortic Root Abscess: A Case Report. The Heart Surgery Forum, 24(2), E387-E391. https://doi.org/10.1532/hsf.3671

Issue

Section

Articles