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Collegiate Wrestler With a Bicuspid Aortic Valve and Aortic Dilation
Rahul Chhana1, Christopher Rymer2, Mahesh Vidula3
1Department of Medicine, Cardiovascular Division, Washington University School of Medicine, St. Louis, Missouri, USA.
Abstract:
Bicuspid aortic valve and aortopathy are generally considered contraindications to isometric exercise. For athletes with mild disease at low risk of adverse events, a shared decision-making approach for continued sports participation is reasonable. We present a case of a collegiate wrestler with bicuspid aortic valve and aortopathy to illustrate shared decision making. (Level of Difficulty: Intermediate.).
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The AV valves prevent the backflow of blood from the ventricles to the atria during ventricular contraction. These valves function with the assistance of the chordae tendineae and papillary muscles. When the ventricles are relaxed, the chordae tendineae are slack, allowing blood to flow from the atria into the...

