Korean Circ J.  1982 Jun;12(1):107-115. 10.4070/kcj.1982.12.1.107.

Aortic Valve Vegetation by Echocardiography

• Park JW
• Park SH
• Song HS
• Kwon YJ

• KMID: 2040203
• DOI: http://doi.org/10.4070/kcj.1982.12.1.107

Abstract

Seven patients with aortic valve vegetation were examined by M-mode and two dimensional echocardiography. Underlying cardiac abnormalities were found in 6 patients, four had rheumatic heart disease, one had congenital bicuspid aortic valve, one had coexistence of asymmetrical septal hypertrophy and aortic regurgitation. Aortic regurgitation were found in all patients. One of seven patients had cerebral embolization and all patients had overt congestive heart failure. Of 5 patients medically treated, three became moribund, one died and one improved clinically. One patient underwent cardiac surgery, the aortic cusps were congenital bicuspid with vegetation, aortic valve replacement was successful. Echocardiogram of 7 patients with aortic valve vegetation showed characteristic shaggy, irregular mass of echoes produced by vegetation in the aortic valve during systole and diastole. Two of seven patients had abnormal mass of echoes in the left ventricular outflow tract. During systole, two had vegetation on the right coronary cusp and one had vegetation on the noncoronary cusp by M-mode echocardiography. In other patients we could not localize invoving aortic cusps by M-mode echocardiogram. All patients had left ventricular volume overload. For of seven patients had fluttering of anterior mitral valve. Two had fluttering of interventricular seputm. Five had premature mitral valve closure before QRS complex.

MeSH Terms

Aortic Valve Insufficiency
Aortic Valve*
Bicuspid
Diastole
Echocardiography*
Heart Failure
Humans
Hypertrophy
Mitral Valve
Rheumatic Heart Disease
Systole
Thoracic Surgery