Presentation
Dyspnoea.
Patient Data
Age: 60 years
Gender: Female
From the case:
Malfunctioning mechanical bileaflet aortic valve
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Enlarged cardiac silhouette, status post mechanical aortic valve replacement with mild pulmonary oedema.
From the case:
Malfunctioning mechanical bileaflet aortic valve
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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 dyspnoea and pulmonary oedema 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.