PMC4668843_01
2D TEE midesophageal AV short-axis view showing a unicuspid aortic valve with a single posterior commissure (arrowhead), raphe (yellow arrow), and an eccentric orifice in systole (red arrow). LA, left atrium; RA, right atrium.
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F1
TEE assessment showed a moderate to severely calcified UAV with an eccentric orifice and a single posterior commissure (Figures 1-4).
2D TEE midesophageal AV short-axis view showing a unicuspid aortic valve (arrow) with a single posterior commissure in diastole (arrowhead). LA, left atrium; RA, right atrium.
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F2
TEE assessment showed a moderate to severely calcified UAV with an eccentric orifice and a single posterior commissure (Figures 1-4).
2D TEE midesophageal long-axis view showing thickened, calcified unicuspid aortic valve in systole (arrow). LA, left atrium; LV, left ventricle, mitral valve (arrowhead); RVOT, right ventricular outflow tract.
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F3
TEE assessment showed a moderate to severely calcified UAV with an eccentric orifice and a single posterior commissure (Figures 1-4).
2D TEE midesophageal modified five-chamber view showing severely calcified and restricted unicuspid aortic valve in systole (arrow). LA, left atrium; LV, left ventricle, mitral valve (arrowhead); RV, right ventricle.
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F4
TEE assessment showed a moderate to severely calcified UAV with an eccentric orifice and a single posterior commissure (Figures 1-4).
Deep transgastric view continuous-wave Doppler through the unicuspid aortic valve showing gradients across the valve (peak/mean gradients = 56/30 mmHg, Peak velocity of 3.75 m/s, VTI = 96 cm).
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F5
The severity of AS was quantified by transvalvular gradients (peak and mean gradients of 56 mmHg and 30 mmHg, respectively) and a peak velocity of 3.75 m/s (Figure 5). The ascending aorta was also dilated and measured 41 mm at the level of the right pulmonary artery.