case_images: PMC10999313_01
case_images: Pulmonary vascular congestion.
case_images: apcyccv-5-54-gf1.jpg
case_images: PMC10999313_01_apcyccv-5-54-gf1.jpg
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case_images: As part of the auxiliary examinations, a chest X-ray was performed, showing signs of cardiomegaly with pulmonary vascular congestion (Figure 1).
case_images: (A) Aortic valve morphology (B) Aortic annulus diameter.
case_images: apcyccv-5-54-gf2.jpg
case_images: PMC10999313_01_apcyccv-5-54-gf2.jpg
case_images: f2
case_images: Likewise, an echocardiography was performed, revealing a bicuspid aortic valve with dysplastic leaflets, dome-shaped opening, with a Z score of -1 standard deviation for the aortic annulus, maximum systolic gradient across the aortic valve of 79 mmHg and mean gradient of 52 mmHg (Figures 2A, 2B, and 3).
case_images: Aortic valve gradient.
case_images: apcyccv-5-54-gf3.jpg
case_images: PMC10999313_01_apcyccv-5-54-gf3.jpg
case_images: f3
case_images: Likewise, an echocardiography was performed, revealing a bicuspid aortic valve with dysplastic leaflets, dome-shaped opening, with a Z score of -1 standard deviation for the aortic annulus, maximum systolic gradient across the aortic valve of 79 mmHg and mean gradient of 52 mmHg (Figures 2A, 2B, and 3).
case_images: (A) 0.014" guide wire in the left ventricle through the aortic valve (thin white arrow). (B) 6 x 20 mm balloon catheter at maximum inflation (thick white arrow).
case_images: apcyccv-5-54-gf4.jpg
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case_images: Finally, the patient tolerated the procedure without complications (Figures 4A and 4B; Video 1).
case_images: Mild aortic regurgitation after aortic valvuloplasty.
case_images: apcyccv-5-54-gf5.jpg
case_images: PMC10999313_01_apcyccv-5-54-gf5.jpg
case_images: f5