Authors: Bah Mamadou Bassirou, Balde Mamadou Dadhi, Balde Elhadj Yaya, Beavogui Mariam, Camara Abdoulaye, Diallo Mamadou, Barry Ibrahima Sory, Ngaide Aliou Alassane, Balde Mamadou Aliou, Kone Alpha, Sorya Ibamy Adrien Adrien, Balde Thierno Hamidou.
The objective of this study was to describe the agenesis of the pulmonary valve in a young man of 29 years. Pulmonary valve agenesis is a rare birth defect, defined by complete absence or severe hypoplasia of the pulmonary sigmoid. It was a 29-yearold Guinean patient, artist with no particular history who consulted us for exercise dyspnea. Cardiac Doppler ultrasound (Figure 3,4,5) had highlighted a right auricle and left cavities of normal size, a good bi ventricular systolic function (FEVG = 60% TAPSE = 18mm). There was an 18 mm wide interventricular communication (VIC) with bidirectional shunt, agenesis of the pulmonary valve with an aneurysmal trunk and pulmonary branches as well as a tight pulmonary stenosis with a maximum gradient VD / AP = 134mmHg.
There was significant pulmonary insufficiency. Agenesis of the pulmonary valve is a rare congenital heart disease.
Clinical tolerance depends on the severity of the bronchial compression. This relative clinical tolerance as well as the absence of training on screening for congenital heart disease are responsible for delayed diagnosis in our context. However, a cardiac doppler ultrasound confirms the diagnosis.
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