Page 97 - BH-3-1

Brain & Heart A neurological association of bicuspid aortic valve

Appendix

Video A1. Transthoracic echocardiogram, parasternal long axis view. This shows a severely dilated left ventricle with mildly reduced LV systolic function.
Aortic valve is calcified and appears abnormal.

Video A2. Cardiac magnetic resonance imaging. Steady-state free precession (SSFP) cine stack through the aortic valve (cine plays from cranial to caudal,
passing through the valve) shows a bicuspid aortic valve with fusion of the right (RCC) and left coronary cusps (LCC). There is marked nodular thickening
and signal dropout of the aortic valve, particularly of the LCC, in keeping with leaflet calcification. There is a large coaptation defect in the inferior part
of the valve at the LCC-RCC commissure, likely secondary to the marked calcification of the LCC. Aortic valve opening area is visually reduced; formal
planimetry and phase-contrast imaging (not shown) confirmed moderate aortic stenosis.
Abbreviations: RCC: Right coronary cusps; LCC: Left coronary cusps.

Volume 3 Issue 1 (2025) 5 doi: 10.36922/bh.5093