AI Article Synopsis
- Cardiovascular magnetic resonance (CMR) imaging is effective for assessing aortic valve disease, particularly in patients with bicuspid aortic valve (BAV), which is more common in those needing surgery.
- In a study of 105 BAV patients, 86% had a raphe, with the majority showing fusion between the right and left cusps (RL), while a smaller group had fusion between the right and non-coronary cusps (RN).
- The study concluded that CMR excels at characterizing BAV phenotypes, revealing that while most cases have a raphe and RL fusion, there were no notable differences in aortic dimensions across the different phenotypes.
Article Abstract
Background: Recently, cardiovascular magnetic resonance (CMR) has been shown to allow accurate visualisation and quantification of aortic valve disease. Although bicuspid aortic valve (BAV) disease is relatively rare in the general population, the frequency is high in patients requiring valve surgery. The aim of the current study was to characterise the different phenotypes of BAV disease by CMR.
Methods: CMR studies were performed on a 1.5 T scanner in 105 patients with BAV.
Results: The pattern of BAV phenotypes was as follows: a raphe was identified in 90 patients (86%). Among patients with raphe, 76 patients had fusion between the right and left cusps (RL) and 14 patients had fusion between the right and the non-coronary cusps (RN). There were no significant differences in the aortic dimensions in the different BAV phenotypes.
Conclusion: CMR allows excellent characterisation of valve phenotype in patients with BAV. The present data demonstrate that a raphe is present in the vast majority of cases and RL fusion is the predominant phenotype of BAV. No significant differences in the aortic dimensions were observed.
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| http://dx.doi.org/10.1136/hrt.2009.186254 | DOI Listing |
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