@Irina67790690 @DaviddlCuevas Classic 🏒-stick sign of the fused cusp.

@najibadn @alexsfelixecho @NMerke @fiore_corrado @echo_stepbystep @EchoProsto @iamritu @dr_benoy_n_shah @danimilovanovi1 Typically a patient who presents with this kind of severity at a young age is a UAV. BAV appear much later in life. So, this is most likely a UAV. UAV are very diverse and can also mimic other phenotypes.

@BritoCardio @iamritu @ASE360 @sudarshanballa @WVUHeart @havistin @RameshDaggubati AV endocarditis with PAIVF. Hemi-Commando with aortic homograft. If you want to be conservative: posterior patch with AVR. But this is not curative. High risk of recurrence.

@iamritu @ASE360 @pattypellikka @JournalASEcho @CASEfromASE @CASivaram1 @VLSorrellImages @rajdoc2005 @purviparwani @LucySafi @DocStrom @amerjohri It must be a broken leaflet. Typically the RCC.

@EllauziRama @MayoClinicCV @nandananavekar @Babar_Basir @MayraGuerreroMD @OAbreuLanfranco @herbaronowMD @keaglemd @avolgman @JasonKatzMD @SrihariNaiduMD @FaisalBakaeen That’s great. Congratulations! They are lucky to have you.

@ChristianAssad 😄

@JustinTretterMD @CleClinicHVTI @CleClinicKids @Bioeng_MDPI @Dr_HaniNajm @schaefers_hans @EACTS Justin, Congrats on this amazing paper and thanks for sharing it with me. New insights, which help us not only understand BAVs better, but it also guides our repair strategy. More evidence that symmetrization is the right strategy.

@Hragy Sorry to hear. I’m sure that’s difficult for everyone involved.

@AATSHQ @Giam00 @CleClinicHVTI @Dr_HaniNajm @barodi_batool @LamaDakik @JustinTretterMD Congrats @JustinTretterMD and coauthors.

@Ali_H_Mashadi @samsaid75 Congrats! Setting new standards in congenital surgery.

@RakanINazer 😉

@DrRajeshG1 Was the tricuspid valve involved?

@22tabbah_randa Unicuspid.

@FaisalBakaeen @EllauziRama Indeed. Forever thankful, blessed and proud.

@22tabbah_randa Either congenital bicuspid or rheumatic aortic valve disease. Hard to tell from the images but that’s my guess. Rheumatic is my first guess.