Korean Journal of Radiology

  • 제24권10호
  • /
  • Pages.960-973
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  • 2023
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  • 1229-6929(pISSN)
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  • 2005-8330(eISSN)
대한영상의학회 (The Korean Society of Radiology)
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Computed Tomography and Magnetic Resonance Imaging Findings of Bicuspid Aortic Valve and Related Abnormalities of the Heart and Thoracic Aorta

  • You Jin You (Department of Radiology, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine) ;
  • Sung Min Ko (Department of Radiology, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine)
  • 투고 : 2023.01.30
  • 심사 : 2023.07.24
  • 발행 : 2023.10.01
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초록

The bicuspid aortic valve (BAV) is the most common congenital cardiovascular malformation. Patients with BAV are at higher risk of other congenital cardiovascular malformations and valvular dysfunction, including aortic stenosis/regurgitation and infective endocarditis. BAV may also be related to aortic wall abnormalities such as aortic dilatation, aneurysm, and dissection. The morphology of the BAV varies with the presence and position of the raphe and is associated with the type of valvular dysfunction and aortopathy. Therefore, accurate diagnosis and effective treatment at an early stage are essential to prevent complications in patients with BAV. This pictorial essay highlights the characteristics of BAV and its related congenital cardiovascular malformations, valvular dysfunction, aortopathy, and other rare cardiac complications using multimodal imaging.

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과제정보

The authors thank Jin Young Kim, MD, Department of Radiology, Dongsan Hospital, Keimyung University College of Medicine, Daegu, Republic of Korea, for providing valuable pictures.

참고문헌

  1. Liu T, Xie M, Lv Q, Li Y, Fang L, Zhang L, et al. Bicuspid aortic valve: an update in morphology, genetics, biomarker, complications, imaging diagnosis and treatment. Front Physiol 2018;9:1921 
  2. Mai Z, Guan L, Mu Y. Association between bicuspid aortic valve phenotype and patterns of valvular dysfunction: a meta-analysis. Clin Cardiol 2021;44:1683-1691 
  3. Sievers HH, Schmidtke C. A classification system for the bicuspid aortic valve from 304 surgical specimens. J Thorac Cardiovasc Surg 2007;133:1226-1233 
  4. Michelena HI, Della Corte A, Evangelista A, Maleszewski JJ, Edwards WD, Roman MJ, et al. International consensus statement on nomenclature and classification of the congenital bicuspid aortic valve and its aortopathy, for clinical, surgical, interventional and research purposes. Eur J Cardiothoracic Surg 2021;60:448-476 
  5. Kong WK, Delgado V, Poh KK, Regeer MV, Ng AC, McCormack L, et al. Prognostic implications of raphe in bicuspid aortic valve anatomy. JAMA Cardiol 2017;2:285-292 
  6. Chew NWS, Phua K, Ngiam JN, Cheong C, Kong G, Ng JLM, et al. Inter-ethnic differences in valvular dysfunction, aortopathy, and progression of disease of an Asian bicuspid aortic valve population. Heart Lung Circ 2022;31:469-479 
  7. Shin HJ, Shin JK, Chee HK, Kim JS, Ko SM. Characteristics of aortic valve dysfunction and ascending aorta dimensions according to bicuspid aortic valve morphology. Eur Radiol 2015;25:2103-2114 
  8. DeFaria Yeh D. Coronary artery variants and bicuspid aortic valve disease: gaining insight into genetic underpinnings. Heart 2018;104:363-364 
  9. Vallabhajosyula S, Fuchs M, Yang LT, Gulati R, Klarich K, Michelena H. Anomalous coronary artery origin from the opposite sinus in patients with bicuspid aortic valve - comparison with tricuspid aortic valve. J Am Coll Cardiol 2021;77(supplement 1):1700 
  10. Bravo-Jaimes K, Prakash SK. Genetics in bicuspid aortic valve disease: where are we? Prog Cardiovasc Dis 2020;63:398-406 
  11. Baumgartner H, De Backer J, Babu-Narayan SV, Budts W, Chessa M, Diller GP, et al. 2020 ESC guidelines for the management of adult congenital heart disease. Eur Heart J 2021;42:563-645 
  12. Zhuang B, Sirajuddin A, Zhao S, Lu M. The role of 4D flow MRI for clinical applications in cardiovascular disease: current status and future perspectives. Quant Imaging Med Surg 2021;11:4193-4210 
  13. Lee SY, Shim CY, Kim D, Cho I, Hong GR, Ha JW, et al. Factors determining aortic valve dysfunction in Korean subjects with a bicuspid aortic valve. Am J Cardiol 2017;119:2049-2055 
  14. Pawade T, Sheth T, Guzzetti E, Dweck MR, Clavel MA. Why and how to measure aortic valve calcification in patients with aortic stenosis. JACC Cardiovasc Imaging 2019;12:1835-1848 
  15. Francone M, Budde RPJ, Bremerich J, Dacher JN, Loewe C, Wolf F, et al. CT and MR imaging prior to transcatheter aortic valve implantation: standardisation of scanning protocols, measurements and reporting-a consensus document by the European Society of Cardiovascular Radiology (ESCR). Eur Radiol 2020;30:2627-2650 
  16. Perry TE, George SA, Lee B, Wahr J, Randle D, Sigurdsson G. A guide for pre-procedural imaging for transcatheter aortic valve replacement patients. Perioper Med (Lond) 2020;9:36 
  17. Katayama M, Panse PM, Kendall CB, Daniels JR, Cha SS, Fortuin FD, et al. Left ventricular septal hypertrophy in elderly patients with aortic stenosis. J Ultrasound Med 2018;37:217-224 
  18. Myerson SG. CMR in evaluating valvular heart disease: diagnosis, severity, and outcomes. JACC Cardiovasc Imaging 2021;14:2020-2032 
  19. Maltes S, Abecasis J, Santos RR, Lopes P, Oliveira L, Guerreiro S, et al. LGE prevalence and patterns in severe aortic stenosis: when "junctional" means the same. Int J Cardiol 2023;378:159-163 
  20. Mordi I, Tzemos N. Bicuspid aortic valve disease: a comprehensive review. Cardiol Res Pract 2012;2012:196037 
  21. Iung B, Delgado V, Rosenhek R, Price S, Prendergast B, Wendler O, et al. Contemporary presentation and management of valvular heart disease: the EURObservational research programme valvular heart disease II survey. Circulation 2019;140:1156-1169 
  22. Zegri-Reiriz I, de Alarcon A, Munoz P, Martinez Selles M, Gonzalez-Ramallo V, Miro JM, et al. Infective endocarditis in patients with bicuspid aortic valve or mitral valve prolapse. J Am Coll Cardiol 2018;71:2731-2740 
  23. Grob A, Thuny F, Villacampa C, Flavian A, Gaubert JY, Raoult D, et al. Cardiac multidetector computed tomography in infective endocarditis: a pictorial essay. Insights Imaging 2014;5:559-570 
  24. Cho SJ, Yang JH, Shin JU, Uhm JE, Lee SC, Park SW, et al. A case of spontaneous native aortic valvular thrombosis that caused aortic stenoinsufficiency in the bicuspid aortic valve. Korean Circ J 2006;36:666-668 
  25. Nappi F, Giacinto O, Lusini M, Garo M, Caponio C, Nenna A, et al. Patients with bicuspid aortopathy and aortic dilatation. J Clin Med 2022;11:6002 
  26. Della Corte A, Michelena HI, Citarella A, Votta E, Piatti F, Lo Presti F, et al. Risk stratification in bicuspid aortic valve aortopathy: emerging evidence and future perspectives. Curr Probl Cardiol 2021;46:100428 
  27. Isselbacher EM, Preventza O, Hamilton Black J 3rd, Augoustides JG, Beck AW, Bolen MA, et al. 2022 ACC/AHA guideline for the diagnosis and management of aortic disease: a report of the American Heart Association/American College of Cardiology Joint Committee on clinical practice guidelines. Circulation 2022;146:e334-e482 
  28. Otto CM, Nishimura RA, Bonow RO, Carabello BA, Erwin JP 3rd, Gentile F, et al. 2020 ACC/AHA guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Joint Committee on clinical practice guidelines. Circulation 2021;143:e72-e227 
  29. Halim SA, Edwards FH, Dai D, Li Z, Mack MJ, Holmes DR, et al. Outcomes of transcatheter aortic valve replacement in patients with bicuspid aortic valve disease: a report from the Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapy Registry. Circulation 2020;141:1071-1079 
  30. Patlolla SH, Schaff HV, Stulak JM, Michelena HI, Saran N, King KS, et al. Bicuspid aortic valve repair: causes of valve failure and long-term outcomes. Ann Thorac Surg 2021;111:1225-1232