Bicuspid Aortic Valve with vegetations

Bicuspid Aortic Valve with vegetations •View of a bicuspid aortic valve, with the undersurface of the anterior mitral leaflet below it and to the right. •The intact cusp in the center is the non-coronary cusp. The abnormal cusp has been cut through with a small portion showing on the right,and the rest appearing on the left (2 arrows). Note the apparent division of this cusp into two cusps separated by a fused commissure, which is a typical feature of the anomaly, not acquired. •The fine excresences on the anomalous cusp edges are vegetations of IE, maybe not seen on echocardiogram. (Description By:J. Hasson, M.D. ) (Image Contrib. by: UCHC )