case_images: PMC10829487_01
case_images: Two-dimensional transesophageal echocardiography demonstrates an anterior-posterior bicuspid aortic valve.
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case_images: Doppler tracings from the patient, the aortic continuous wave (CW) recording shows a peak gradient of 73 mm Hg and a mean gradient of 40 mm Hg. These findings are consistent with severe aortic stenosis.
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case_images: Continuous-wave Doppler echocardiogram across the stenotic mitral valve showed Vmax of 240 cm/s and mean Pressure Gradient of 11 mm Hg.
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case_images: Two-dimensional transesophageal echocardiographic at midesophageal (ME) 4-chamber view demonstrated anterior and posterior mitral leaflets attached to thickened and shortened chords that originated from a single papillary muscle (PM).
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case_images: Parasternal long axis (PLAX) view shows both chordae are attached to a single point, consistent with a parachute mitral valve.
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case_images: Parasternal short-axis view showing single papillary muscle.
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case_images: A and B aortoangiography showed abrupt occlusion of the postductal aorta, consistent with aortic coarctation.
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case_images: Findings were also confirmed on noncontrast chest computed tomography (CT), which also showed prominent right and left internal mammary arteries (Figures 7 and 8).
case_images: Two-dimensional sagittal computed tomography scan imaging of coarctation of aorta showing the discrete narrowing site at the aortic isthmus level (arrow).
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case_images: Findings were also confirmed on noncontrast chest computed tomography (CT), which also showed prominent right and left internal mammary arteries (Figures 7 and 8).