PMC8086645_01
A. Standard 12-lead electrocardiogram; B. Chest X-ray; C. Cardiac magnetic resonance scans showing hypertrophic cardiomyopathy and D : aortic dissection; E. Computed tomography scans showing bicuspid aortic valve and F : aortic dissection. Ao : aorta; BAV : bicuspid aortic valve; LA : left atrium; LV : left ventricle; IVS : interventricular septum; arrows show dissection flap.
cardj-26-2-202f1.jpg
PMC8086645_01_cardj-26-2-202f1.jpg
f1-cardj-26-2-202
T-wave abnormalities (Fig. 1A). The chest X-ray showed bilateral lung consolidation and pulmonary congestion (Fig. 1B). Transthoracic echocardiography revealed significant asymmetric LV hypertrophy with preserved LV ejection fraction, bicuspid aortic valve with moderate regurgitation, and mild dilatation of the ascending aorta (41 mm). Moreover ascending aortic dissection was detected (Fig. 1C, D). Computed tomography confirmed aortic dissection originated in the aortic root and involving descending aorta (DeBakey Type I) (Fig. 1E, F).