Skip to main content

Abstract

SCD may occur in young people affected by congenital valve aortic stenosis, whether unicuspid or bicuspid with dysplastic cusps [1] (Figs. 6.1, and 6.2). At a young age, the cusps rarely present with a dystrophic calcification, a phenomenon which usually occurs in adult or in the elderly [2–4]. When it happens prematurely, it is usually secondary to endocarditis (Fig. 6.3). SCD is arrhythmic and the arrhythmogenic substrate consists of left ventricular hypertrophy and subendocardial ischemia, in terms of myocytolisis and replacement-type fibrosis [1, 5].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Basso C, Frescura C, Corrado D, Muriago M, Angelini A, Daliento L, Thiene G. Congenital heart disease and sudden death in the young. Hum Pathol. 1995;26:1065–72.

    Article  CAS  PubMed  Google Scholar 

  2. Thiene G, Ho SY. Aortic root pathology and sudden death in youth: review of anatomical varieties. Appl Pathol.1986;4:237-45

    Google Scholar 

  3. Roberts WC, Ko JM. Frequency by decades of unicuspid, bicuspid, and tricuspid aortic valves in adults having isolated aortic valve replacement for aortic stenosis, with or without associated aortic regurgitation. Circulation. 2005;111:920–5.

    Article  PubMed  Google Scholar 

  4. Cheitlin MD, Fenoglio JJ, McAllister HA, Davia JE, DeCastro CM. Congenital aortic stenosis secondary to dysplasia of congenital bicuspid aortic valve without commissural fusion. Am J Cardiol. 1978;42:102–7.

    Article  CAS  PubMed  Google Scholar 

  5. Pomerance A. Pathogenesis of aortic stenosis and its relation to age. Br Heart J. 1972;34:569.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Thiene G, Carturan E, Corrado D, Basso C. Prevention of sudden cardiac death in the young and in athletes: dream or reality? Cardiovasc Pathol. 2010;19:207–17.

    Article  PubMed  Google Scholar 

  7. Roberts CS, Roberts WC. Dissection of the aorta associated with congenital malformation of the aortic valve. J Am Coll Cardiol. 1991;17:712–6.

    Article  CAS  PubMed  Google Scholar 

  8. Edwards WD, Leaf DS, Edwards JE. Dissecting aortic aneurysm associated with congenital bicuspid aortic valve. Circulation. 1978;57:1022–5.

    Article  CAS  PubMed  Google Scholar 

  9. Nistri S, Grande-Allen J, Noale M, Basso C, Siviero P, Maggi S, Crepaldi G, Thiene G. Aortic elasticity and size in bicuspid aortic valve syndrome. Eur Heart J. 2008;15:472–9.

    Article  Google Scholar 

  10. Nistri S, Porciani MC, Attanasio M, Abbate R, Gensini GF, Pepe G. Association of Marfan syndrome and bicuspid aortic valve: frequency and outcome. Int J Cardiol. 2012;15:324–5.

    Article  Google Scholar 

  11. Kappetein AP, Gittenberger-de Groot AC, Zwinderman AH, Rohmer J, Poelmann RE, Huysmans HA. The neural crest as a possible pathogenetic factor in coarctation of the aorta and bicuspid aortic valve. J Thorac Cardiovasc Surg. 1991;102:830-6

    Google Scholar 

  12. Morrow AG, Waldhausen JA, Peters RL, Blood-Well RD, Braunwald E. Supravalvular aortic stenosis. Clinical, hemodynamic and pathologic observations. Circulation. 1959;20:1003–10.

    Article  CAS  PubMed  Google Scholar 

  13. Williams JCP, Barratt Boyes BG, Lowe JB. Supravalvular aortic stenosis. Circulation. 1961;24:1311–8.

    Article  CAS  PubMed  Google Scholar 

  14. Morris CA, Loker J, Ensing G, Stock AD. Supravalvular aortic stenosis cosegregates with a familial 6; 7 translocation which disrupts the elastin gene. Am J Med Genet. 1993;46:737–44.

    Article  CAS  PubMed  Google Scholar 

  15. Hayek E, Gring CN, Griffin BP. Mitral valve prolapse. Lancet. 2005;365:507–18.

    Article  PubMed  Google Scholar 

  16. Sriram CS, Syed FF, Ferguson ME, Johnson JN, Enriquez-Sarano M, Cetta F, Cannon BC, Asirvatham SJ, Ackerman MJ. Malignant bileaflet mitral valve prolapse syndrome in patients with otherwise idiopathic out-of-hospital cardiac arrest. J Am Coll Cardiol. 2013;62:222–30.

    Article  PubMed  Google Scholar 

  17. Basso C, Perazzolo Marra M, Rizzo S, De Lazzari M, Giorgi B, Cipriani A, Frigo AC, Rigato I, Migliore F, Pilichou K, Bertaglia E, Cacciavillani L, Bauce B, Corrado D, Thiene G, Iliceto S. Arrhythmic mitral valve prolapse and sudden cardiac death. Circulation. 2015;132:556–66.

    Google Scholar 

  18. Salazar AE, Edwards JE. Friction lesions of ventricular endocardium: relation to chordae tendineae of mitral valve. Arch Pathol. 1970;90:364–76.

    CAS  PubMed  Google Scholar 

  19. Kligfield P, Levy D, Devereux RB, Savage DD. Arrhythmias and sudden death in mitral valve prolapse. Am Heart J. 1987;113:1316–23.

    Article  Google Scholar 

  20. Bharati S, Granston AS, Liebson PR, Loeb HS, Rosen KM, Lev M. The conduction system in mitral valve prolapse syndrome with sudden death. Am Heart J. 1981;101:667–70.

    Article  CAS  PubMed  Google Scholar 

  21. Jeresaty RM. The syndrome associated with mid-systolic click and-or late systolic murmur. Analysis of 32 cases. Chest. 1971;59:643–7.

    Article  CAS  PubMed  Google Scholar 

  22. Shappell SD, Marshall CE, Brown RE, Bruce TA. Sudden death and the familial occurrence of mid-systolic click, late systolic murmur syndrome. Circulation. 1973;48:1128–34.

    Article  CAS  PubMed  Google Scholar 

  23. Chesler E, King RA, Edwards JE. The myxomatous mitral valve and sudden death. Circulation. 1983;67:632–9.

    Article  CAS  PubMed  Google Scholar 

  24. Pocock WA, Bosman CK, Chesler E, Barlow JB, Edwards JE. Sudden death in primary mitral valve prolapse. Am Heart J. 1984;107:378–82.

    Article  CAS  PubMed  Google Scholar 

  25. Dollar AL, Roberts WC. Morphologic comparison of patients with mitral valve prolapse who died suddenly with patients who died from severe valvular dysfunction or other conditions. J Am Coll Cardiol. 1991;17:921–31.

    Article  CAS  PubMed  Google Scholar 

  26. Farb A, Tang AL, Atkinson JB, McCarthy WF, Virmani R. Comparison of cardiac findings in patients with mitral valve prolapse who die suddenly to those who have congestive heart failure from mitral regurgitation and to those with fatal noncardiac conditions. Am J Cardiol. 1992;70:234–9.

    Article  CAS  PubMed  Google Scholar 

  27. Watson H. Natural history of Ebstein’s anomaly of tricuspid valve in childhood and adolescence: an international cooperative study of 505 cases. Br Heart J. 1974;36:417–27.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. Lev M, Gibson S, Miller R. Ebstein’s disease with Wolff-Parkinson-White syndrome. Report of a case with histopathologic study of possible conduction pathways. Am Heart J. 1955;49:724–41.

    Article  CAS  PubMed  Google Scholar 

  29. Smith WM, Gallagher JJ, Kerr CR, Sealy WC, Kasell JH, Benson Jr DW, Reiter MJ, Sterba R, Grant AO. The electrophysiologic basis and management of symptomatic recurrent tachycardia in patients with Ebstein’s anomaly of the tricuspid valve. Am J Cardiol. 1982;49:1223–34.

    Article  CAS  PubMed  Google Scholar 

  30. Thiene G, Pennelli N, Rossi L. Cardiac conduction system abnormalities as a possible cause of sudden death in young athletes. Hum Pathol. 1983;14:704–9.

    Article  CAS  PubMed  Google Scholar 

  31. Rossi L, Thiene G. Mild Ebstein’s anomaly associated with supraventricular tachycardia and sudden death: clinicomorphologic features in 3 patients. Am J Cardiol. 1984;53:332–4.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer-Verlag Milan

About this chapter

Cite this chapter

Thiene, G., Corrado, D., Basso, C. (2016). Valve Disease. In: Sudden Cardiac Death in the Young and Athletes. Springer, Milano. https://doi.org/10.1007/978-88-470-5776-0_6

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-5776-0_6

  • Published:

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-5775-3

  • Online ISBN: 978-88-470-5776-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics