An Athlete With Bicuspid Aortic Valve Regurgitation and Left Ventricular Dilatation: A Clinical Conundrum

Nikhil Chatrath, Raghav Bhatia, Saad Fyyaz, Hamish Maclachlan, Maite Tome, Sanjay Sharma, Michael Papadakis. JACC. Case reports. 2023 May 3. Read the paper here

The physiologic cardiac adaptations caused by intensive exercise and the pathophysiologic changes caused by significant regurgitant valvular lesions can be challenging to differentiate. We describe the clinical course of an asymptomatic 31-year-old elite triathlete with a moderately regurgitant bicuspid aortic valve and severe left ventricular and aortic dilatation. (Level of Difficulty: Intermediate.).