Male 13 years old Reason: evaluate aorta and bicuspid aortic valve History: headaches, chest pain Left VentricleThe left ventricle is normal in size. There are no regional wall motion abnormalities present. There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process.Left AtriumThe left atrium is normal in size. Right VentricleThe right ventricle is normal in size.Right AtriumThe right atrium is normal in size. Aortic ValveThe bicuspid aortic valve opens widely. There is no significant dephasing inferior to the aortic valve to suggest significant aortic regurgitation however there is some dephasing superiorly concerning for stenosis. Peak velocity is 2.3 m/sMitral ValveThe mitral valve opens widely. There is no significant mitral regurgitation. Dedicated through plane imaging of the mitral valve was not performed.Pulmonic ValveThe pulmonic valve opens widely. There is no significant pulmonic regurgitation visualized. Dedicated through plane imaging of the pulmonic valve was not performed.Tricuspid ValveThe tricuspid valve opens widely. There is no significant tricuspid regurgitation visualized. Dedicated through plane imaging of the tricuspid valve was not performed.AortaThe aortic Valsalva sinus is slightly dilated. The ascending thoracic aorta is normal in size. There is a left sided aortic arch. High takeoff of right and left coronary arteries just above the sinus of ValsalvaAORTA MEASUREMENTS: aortic valve ring: 15.2 mmsinuses of Valsalva: 26.1 mmsinotubular junction: 13.7 mmascending aorta: 17.9 mmaortic arch: 18 mmdescending aorta: 15.2 mmdiaphragmatic hiatus: 12.5 mmPulmonary ArteryThe main pulmonary artery is normal in size. PULMONARY ARTERY MEASUREMENTS:MAIN: 16.8 mmRIGHT: 9.3 mmLEFT: 8.8 mmVenous AnatomyThe SVC and IVC are normal in size and drain normally into the right atrium. PericardiumThere is no pericardial thickening or effusion.FUNCTIONAL:AORTA FLOW QUANTITATION: Stroke volume in ml: 58.9Forward flow volume in ml: 61.1Backward flow volume in ml: 2.29Regurgitant factor in %: 3.7PULMONARY ARTERIES FLOW QUANTITATION:Main pulmonary arteries flow quantitation values are as follows:Stroke volume in ml: 51.1Forward flow volume in ml: 51.3Backward flow volume in ml: 02.244Regurgitant factor in %: 0.5Extracardiac FindingsVisualized osseous structures look intact. Partial visualization of the solid organs and hollow viscus of the upper abdomen are of normal characteristics.
1. Mild aortic valve stenosis with a peak velocity of 2.3 m/s. 2. High takeoff of right and left coronary arteries just above the sinus of Valsalva3. Status post aortic coarctation repair with postsurgical changes of tortuosity but no stenosis.Dr. Peter Varga was present during the elaboration of this report and agrees with the findings.