PMC8084364_01
Preoperative transesophageal echocardiography (TEE) showing 130 mm aortic root and ascending aorta aneurysm (A) and severe aortic regurgitation (B); C. Preoperative angio-computed tomography (angio-CT): 130 mm aortic root and ascending aorta aneurysm. Postoperative TEE showing the root and ascending aorta (D) and trace aortic regurgitation (E); F. Postoperative angio-CT showing the aortic root.
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Transesophageal echocardiography (TEE) showed bicuspid aortic valve (BAV) with severe eccentric regurgitation jet along anterior mitral leaflet (Fig. 1A), aneurysm of the root and ascending aorta with maximum diameter of 130 mm without dissection (Fig. 1B). Angio-computed tomography showed an enormous aneurysm (130 x 110 mm, Fig. 1C) involving aortic root and the ascending aorta with normal 34 mm aortic arch. TTE on post-op 7 showed no aortic regurgitation, aortic root of 36 mm (Fig. 1D, E, F), EF 30% and EDV 206 mL.