Abstract
A 34-year-old woman was transferred to our hospital for further investigation of a 1-year history of shortness of breath, bilateral transudative pleural effusions, and marked peripheral edema. Previous extensive investigations had not revealed a cause. On examination, there were marked dependent edema and a large left-sided pleural effusion. A continuous murmur was heard along the left sternal edge. Transthoracic echocardiogram demonstrated a bicuspid aortic valve with mild stenosis and an aneurysm of the noncoronary sinus of Valsalva. The right ventricle and right …
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