CTICasesBentall Procedure for Bicuspid Aortic Valve Aneurysm
Imaging findings
Preoperative CT shows a bicuspid aortic valve and dilated ascending aorta. Postoperative CT shows replacement of the aortic root and ascending aorta with a Valsalva graft, an inside bioprosthetic valve, and reimplanted coronary buttons (Bentall procedure).
Key takeaways
Bicuspid aortic valve is strongly associated with ascending aortic dilatation/aneurysm due to both turbulent flow and underlying connective tissue weakness. Treatment involves root/ascending aorta replacement (Bentall procedure).
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