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A very Rare Cause of Aortic Regurgitation: Penatcuspid Aortic Valve
Author(s)
Dr. Ahmed Al Ansari
Abstract
A 54-year-old man with no previous history presented with a 4- month history of progressive exertional dizziness associated with chest pain and dyspnea, blood pressure was 139/71 mmHg and his heart rate was 80 beats per minute. Transoesophageal echocardiography (TOE). TOE showed a pentacuspid aortic valve. with moderately severe aortic insufficiency and non-coaptation leaflets during diastole and Supplementary material online, Images and Videos S1–S4). It also revealed left ventricular hypertrophy with a mass of 312 g and an ejection fraction of 55%.
The patient underwent aortic valve replacement due to the valvular findings and the presence of cardiac symptoms. He recovered without complications and discharged on the 6th day post-operatively.
PAV is rarely seen and reported in clinical practice; with the first case reported in 1923 by Simonds J.P. Since then, there have been at least eight reported cases to our knowledge.1–3 The main complaint of progressively worsening exertional dizziness, as seen in this case, was not reported before
European Heart Journal - Case Reports,