Congenital Bicuspid Aortic Valve with Severe Aortic Stenosis and Patent Ductus Arteriosus - An Uncommon Association - Treated in Unison

Bicuspid aortic valve, the most common congenital cardiac malformation, may occur in isolation or in association with other congenital cardiovascular malformations. Although occurrence of PDA with bicuspid aortic valve in pediatric population is known, especially as a component of Heart hand syndrome, association of a PDA with left ventricular outflow tract obstruction is uncommon beyond neonatal period. Further, in patients presenting with this combination, either no intervention was performed for aortic valve or they were referred directly for open surgery. We report a unique case of adolescent female with bicuspid aortic valve with severe valvular aortic stenosis with PDA in which both lesions were tackled in same setting by percutaneous approach rather than referring patient directly to open surgery.