Abstract
A CONGENITAL MALFORMATION of the aortic valve is the most common cause of isolated aortic stenosis in adolescents and young adults. Usually the stenotic valve is found to be bicuspid, but not infrequently stenosis may result from a unicuspid aortic valve.1 The clinical presentations of unicuspid and bicuspid aortic valve stenosis are similar, and the distinction between these 2 entities before surgery can be difficult. The application of transesophageal echocardiography when properly performed potentially can make this distinction possible.
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