Malfunctioning mechanical bileaflet aortic valve

Case contributed by Stefan Tigges
Diagnosis certain

Presentation

Dyspnea.

Patient Data

Age: 60 years
Gender: Female

Enlarged cardiac silhouette, status post mechanical aortic valve replacement with mild pulmonary edema.

Bileaflet mechanical aortic valve. The right leaflet moves normally, opening in systole and closing in diastole. The left leaflet doesn't move and is stuck almost completely open.

Case Discussion

This patient presented with dyspnea and pulmonary edema on the CXR, likely secondary to malfunctioning of the bileaflet mechanical valve. One of the leaflets was stuck almost completely open, likely leading to aortic regurgitation.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.