Clinico-Pathological Atlas of Cardiovascular Diseases by Joaquín S. Lucena Pablo García-Pavía M. Paz Suárez-Mier & Luis A. Alonso-Pulpón

Author:Joaquín S. Lucena, Pablo García-Pavía, M. Paz Suárez-Mier & Luis A. Alonso-Pulpón
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

Fig. 7.6 Calcification of a bicuspid aortic valve. Sudden death in a 47-year-old male. A bicuspid aortic valve with heavily calcified leaflets, causing a significant obstruction of the LV outflow tract, which ultimately led to cardiac hypertrophy with a heart weight of 760 g

In up to 20 % of patients with congenital aortic stenosis, other concomitant cardiovascular abnormalities exist. For example, an association with aortic dissection is common (Fig. 7.7) and complications such as infective or rheumatic endocarditis may occur, causing mixed forms of aortic stenosis (Fig. 7.8).

Fig. 7.7 Aortic dissection associated with bicuspid aortic valve. A 30-year-old male. In the hours prior to death he presented prodromal symptoms such as chest pain. The cause of death was cardiac tamponade due to haemopericardium secondary to a type A aortic dissection. Dissection of the aortic wall, with intimal tear and dilatation of the aortic root can be appreciated in the image

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