PMC7360863_01
Two-dimensional 4-chamber view in transthoracic echocardiography, showing that the tricuspid valve (TV) is inserted close to the apex when compared with the mitral valve. Additionally, a markedly hypertrophic moderator band is seen in the left-sided ventricle.
JTHC-15-27-g001.jpg
PMC7360863_01_JTHC-15-27-g001.jpg
F1
Transthoracic echocardiography was performed; and as is shown in Figure 1, atrioventricular (AV) and ventriculoarterial discordance was patently visible in the 4-chamber view.
Two-dimensional transthoracic echocardiography in the short-axis parasternal view, showing a bicuspid aortic valve (BAV) and the anterior position of the aorta to the pulmonary artery (PA)
JTHC-15-27-g002.jpg
PMC7360863_01_JTHC-15-27-g002.jpg
F2
The aortic valve was bicuspid without a significant pressure gradient (Figure 2).
Aortic root angiogram in the left anterior oblique view, showing the following: A) Aortic coarctation is distal to the left subclavian artery. B) Percutaneous transluminal angioplasty is done successfully and the stent is seen in the proper position.
JTHC-15-27-g003.jpg
PMC7360863_01_JTHC-15-27-g003.jpg
F3
Aortic root angiography demonstrated aortic coarctation distal to the emergence of the left subclavian artery (Figure 3-A). After the wiring of the coarctation, a CP stent (Cheatham-Platinum stent) 8Z39 was deployed and postdilation was done using a Balloon-in-Balloon (BIB) (20x50 mm) with good results (gradient across the coarctation site=0) and without complications (Figure 3-B).