AJR teaching file: aortic valve abnormality in a woman with progressive shortness of breath.

摘要

A 45-year-old woman presented with left-sided chest pain and progressive shortness of breath. Physical examination revealed a grade 3/6 decrescendo diastolic murmur at the left sternal border. A stress echocardiogram showed normal left ventricular size and function and no inducible ischemia. However, an aortic valve abnormality and aortic regurgita-tion were noted. Before the patient underwent aortic valve replacement for the treatment of aortic regurgitation, transesophageal echocardiography (TEE) and retrospectively gated 64-MDCT aortography were performed for detailed assessment of the abnormal aortic valve and evaluation of any other associated abnormalities of the aorta.