Stenotic Bicuspid Aortic Valve the Case of Sudden Death Following Physical Activity
DOI:
https://doi.org/10.17986/blm.2006113618Keywords:
bicuspid aortic valve, autopsy, aortic stenosis, sudden deathAbstract
A bicuspid aortic valve is a common congenital cardiac valvular abnormality that is detected in 1 to 2% of the population. Men are affected three or four times more frequently than women. The bicuspid aortic valve is associated with aortic valve prolapsus, aortic stenosis and regurgitation. 14 years old male is presented in this study. He was admitted to hospital with dizziness after physical activity, and died at the hospital on the same day. Autopsy revealed no traumatic signs in external examination. Heart was 380 gr, the thickness of right ventricule was 0,4 cm, the thickness of left ventricle was 2 cm. Aortic valve consisted of two leaflets displaying fibrotic thickness, total length of the leaflets were 3,8 cm. Histopathologic examination disclosed myocardial hypertrophy, fibrotic and calcified aortic valve. The aim of this study is to emphasize the importance of autopsy for sudden deaths and discuss the role of cardiac abnormalities in such cases.
Key words: Bicuspid aortic valve, autopsy, aortic stenosis, sudden death.
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References
Knight B. The Pathology of Sudden Death. Forensic Pathology. 2nd Ed. London:Arnold 1997:504-505.
Di Maio DJ, Di Maio VJ. Deaths Due to Natural Disease. Forensic Pathology. CRC press. LLC 1993;:43-83. DOI: https://doi.org/10.1007/BF02844819
Sheppard M, Davies MJ. Valve Disease in Practical Cardiovascular Pathology. 1st. Ed. Oxford University Pres 1998:51-88.
Glancy DL. Congenitally bicuspid aortic valves in adults. J La State Med Soc 2002;154:296-301.
Roberts WC. The congenitally bicuspid aortic valve. Am J Cardio 1970;26:72-83. DOI: https://doi.org/10.1016/0002-9149(70)90761-7
Tuğcu H, Ongiirii O, Ozaslan A, Ulukan MO, Ce- lasun B. Dissekan aort anevrizması riiptürüne bağlı bir ani ölüm olgusu. Gülhane Tıp Dergisi 2003;45:371-375.
Silver MD, Gotlieb AI, Schoen FJ. Valvular Heart Disease: General Principles and Stenosis in Cardiovascular Pathology. 3rd ed. Philadelphia, Pennsylvania: Churchill Livingstone 2001:402-442.
Keane MG, Wiegers SE, Plappert T, Pochettino A, Bavaria JE, Sutton MG. Bicuspid aortic valves are associated with aortic dilatation out of proportion to coexistent valvular lesions. Circulation 2000;7:102. DOI: https://doi.org/10.1161/01.CIR.102.suppl_3.III-35
Pakiş I, Arıcan N, Karayel F, Akçay Turan A, Tok- demir B. Biküspit aort kapağı zemininde gelişmiş aort rüptürüne bağlı ani ölüm: Olgu sunumu. Türkiye Klinikleri Adli Tıp 2005;2:14-17.
deSa M, Moshkovitz Y, Butany J, David ET. Surgery for acquired cardiovascular disease. Histologic abnormalities of the ascending aorta and pulmonary trunk in patients with bicuspid aotric valve disease: clinical relevance to the ross procedure. J Thorac Cardiovasc Surg 1999;118:588-96. DOI: https://doi.org/10.1016/S0022-5223(99)70002-4
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