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].
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
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.
Thiene G, Ho SY. Aortic root pathology and sudden death in youth: review of anatomical varieties. Appl Pathol.1986;4:237-45
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.
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.
Pomerance A. Pathogenesis of aortic stenosis and its relation to age. Br Heart J. 1972;34:569.
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.
Roberts CS, Roberts WC. Dissection of the aorta associated with congenital malformation of the aortic valve. J Am Coll Cardiol. 1991;17:712–6.
Edwards WD, Leaf DS, Edwards JE. Dissecting aortic aneurysm associated with congenital bicuspid aortic valve. Circulation. 1978;57:1022–5.
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.
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.
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
Morrow AG, Waldhausen JA, Peters RL, Blood-Well RD, Braunwald E. Supravalvular aortic stenosis. Clinical, hemodynamic and pathologic observations. Circulation. 1959;20:1003–10.
Williams JCP, Barratt Boyes BG, Lowe JB. Supravalvular aortic stenosis. Circulation. 1961;24:1311–8.
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.
Hayek E, Gring CN, Griffin BP. Mitral valve prolapse. Lancet. 2005;365:507–18.
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.
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.
Salazar AE, Edwards JE. Friction lesions of ventricular endocardium: relation to chordae tendineae of mitral valve. Arch Pathol. 1970;90:364–76.
Kligfield P, Levy D, Devereux RB, Savage DD. Arrhythmias and sudden death in mitral valve prolapse. Am Heart J. 1987;113:1316–23.
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.
Jeresaty RM. The syndrome associated with mid-systolic click and-or late systolic murmur. Analysis of 32 cases. Chest. 1971;59:643–7.
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.
Chesler E, King RA, Edwards JE. The myxomatous mitral valve and sudden death. Circulation. 1983;67:632–9.
Pocock WA, Bosman CK, Chesler E, Barlow JB, Edwards JE. Sudden death in primary mitral valve prolapse. Am Heart J. 1984;107:378–82.
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.
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.
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.
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.
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.
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.
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.
Author information
Authors and Affiliations
Rights 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)