Bicuspid Aortic Valve on Echocardiography | Aortic Regurgitation and Aortic Dilatation

This video presents a transthoracic echocardiographic examination of a patient with a bicuspid aortic valve, featuring a raphe between the right and left coronary cusps (RCC–LCC), along with dilatation of the aortic root and ascending aorta. The study systematically demonstrates key echocardiographic views: Parasternal long-axis view (PLAX) — assessment of aortic valve morphology, aortic root, and ascending aorta PLAX with color Doppler — visualization of aortic regurgitation Parasternal short-axis view (PSAX) — characteristic bicuspid valve anatomy with a raphe between RCC and LCC Apical three-chamber view (A3C) — left ventricular dilatation, aortic valve leaflet motion, and aortic enlargement A3C with color Doppler — confirmation and assessment of aortic regurgitation Left ventricular dilatation is present, consistent with chronic volume overload secondary to aortic regurgitation. This video is intended for: cardiologists echocardiographers specialists in valvular heart disease medical students and trainees The content is provided for educational purposes only.