A 32 year old male with prune belly syndrome and renal transplantation, with bicuspid aortic valve, mild aortic stenosis, mild aortic coarctation, ascending aortic dilatation. Left VentricleThe left ventricle is normal in size and systolic function. The overall LV ejection fraction is 63%, the LV end diastolic volume index is 77 ml/m2 (normal range: 74+/-15), the LVEDV is 136 ml (normal range 142+/-34), the LV end systolic volume index is 28 ml/m2 (normal range 25+/-9), the LVESV is 50 ml (normal range 47+/-19), the LV mass index is 58 g/m2 (normal range 85+/-15), and the LV mass is 101 g (normal range 164+/-36). There are no regional wall motion abnormalities present. Left AtriumThe left atrium is normal in size. Right VentricleThe right ventricle is normal in size and systolic function. The overall RV ejection fraction is 54%, the RV end diastolic volume index is 80 ml/m2 (normal range 82+/-16), the RVEDV is 141 ml (normal range 142+/-31), the RV end systolic volume index is 37 ml/m2 (normal range 31+/-9), and the RVESV is 64 ml (normal range 54+/-17).Right AtriumThe right atrium is normal in size.Aortic ValveThe aortic valve is bicuspid with fusion of the right and non-coronary cusps. There is mild stenosis and trace regurgitation, stable. Mitral ValveThe mitral valve opens widely and there is no significant mitral regurgitation.Pulmonic ValveThe pulmonic valve opens widely. There is no significant pulmonic regurgitation.Tricuspid ValveThe tricuspid valve opens widely. There is no significant tricuspid regurgitation.AortaThere is a left sided aortic arch with a normal branching pattern. The ascending thoracic aortic is dilated but is stable. The proximal descending thoracic aortic diameter is unchanged, with minimum diameter of 18mm. The axial (non orthogonal) measurements of the thoracic aorta are as follows, using same measurement technique with the prior exam: - Sinuses of Valsalva: 35mm- Sinotubular Junction: 28mm - Ascending Aorta: 38mm - Aortic Arch: 36mm AP Pulmonary VeinsAll four pulmonary veins drain normally into the left atrium.Pulmonary ArteryThe main pulmonary artery is normal in size.Venous AnatomyThe SVC and IVC are normal in size and drain normally into the right atrium.PericardiumThere is no pericardial effusion.Extracardiac FindingsThe right lobe of the thyroid gland is mildly enlarged.
1. The left ventricle is normal in size and systolic function, the LVEF is 63%. There are no regional wall motion abnormalities present. 2. The right ventricle is normal in size and systolic function, the RVEF is 54%. 3. The aortic valve is bicuspid with fusion of the right and non-coronary cusps. There is mild stenosis and trace regurgitation. 4. The aortic root is dilated, but remains stable.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.