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In this next case, we're gonna review a patient with bicuspid aortic valve.

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So we're starting with the standard N P R views, coronal, axial,

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sagittal.

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And I'm gonna get myself into a short axis plane to get a good look at the

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aortic valve. So as we've described before,

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I like to start with the coronal in this particular software.

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It's up in the upper right hand corner,

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and I go to the coronal and drop a crosshairs for my NPRs

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right at the middle of the valve leaflets.

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And then I rotate my axial plane counterclockwise so that I am

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parallel to the aortic valve.

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I repeat the process for my other long axis image here,

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and then I take a look on the short axis at what we've got.

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In this particular case, you can see it's a heavily calcified aortic valve.

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There's some window, a little wider here. In addition to all the calcification,

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it looks like there're actually two distinct cusps.

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There's this cusp right here, and then there's this cusp right here. Um,

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as you scroll inferiorly, you can see the gap between the two cusp.

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That's the valve opening and it's opening's very restricted in this particular

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patient. Um, and you can see I have one cusp here and one cusp here.

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Now what I'm gonna do is I'm gonna hit the syne button so that we can actually

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page through all the different parts of the cardiac cycle and we can get a look

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at the opening of these cusps throughout the cycle.

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So it's gonna just take a second to load in.

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And you can actually see in this particular patient that this more posterior

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part of the valve is actually open better than the more anterior part of the

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valve. And that, you know,

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makes sense given the degree of calcification that we see anteriorly.

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But you can also appreciate that we really only see two cusps throughout the

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entire cardiac cycle. We don't see that third cusp.

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And this is what we would call a two cusp bicuspid valve

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rather than diffuse subtype, which we're gonna discuss in a separate video.