Valvuloplasty for aortic regurgitation with bicuspid valve: report of a case

A 32-year-old male patient with bicuspid aortic valve underwent valvuloplasty for the treatment of aortic regurgitation. The aortic regurgitation was estimated to be grade III based on the transthoracic echocardiography and aortography findings. Transesophageal echocardiography showed prolapse of the conjoined leaflet. At surgery, the valvuloplasty consisted of triangular resection and re-suture of the prolapsed larger leaflet, and subcommissural annuloplasty. The degree of the aortic regurgitation decreased to very slight degree after the repair. The peak pressure gradient across the repaired aortic valve was 8.8 mmHg. The patient was discharged without any complications. The bicuspid aortic valve demonstrating aortic regurgitation seems to be repairable. As a result, the valvuloplasty is indicated for such patients, especially for young patients.