IOTW: Bicuspid aortic valve and normal IVC

Posted on: July 30, 2018, by :
Teenage boy with complex cardiac history s/p repair who presented with syncope. The patient’s cardiac exam showed good function with no effusion. The IVC showed that it was normal after receiving fluids and the patient felt much better. You can tell that this is the IVC because it has liver on both sides, the hepatic vein is draining into it, and the IVC is draining into the right atrium. Of note, you will also notice that the patient has a bicuspid valve with a fish-mouth appearance rather than the typical “Mercedes Benz sign.”

“The information in these cases has been changed to protect patient identity and confidentiality. The images are only provided for educational purposes and members agree not to download them, share them, or otherwise use them for any other purpose.”

Carrie Ng

Pediatric Emergency Medicine Attending at Children's National Health System
Carrie was born in San Francisco, but grew up between Hong Kong and Los Angeles. Although she loves the sun, she was excited to move away from home to Philadelphia for medical school, where she explored a new city, learned to appreciate all four seasons, and met her Canadian husband. She then moved to New York City and completed her Pediatrics residency at NYU and PEM fellowship at Columbia. During this time, Carrie developed a passion for bedside ultrasound and decided to join the CNMC faculty while pursuing an Emergency Ultrasound fellowship. In her spare time, Carrie loves traveling, listening to podcasts, and playing board games.

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