The physiological cardiac adaptations caused by intensive exercise and the pathophysiological changes caused by significant regurgitant valvular lesions can be challenging to differentiate. We describe the clinical course of an asymptomatic 31-year old elite triathlete with a moderately regurgitant bicuspid aortic valve and severe left ventricular and aortic dilatation. 

JACC Case Reports Editor-in-Chief 

Julia Grapsa, MD, PhD, FACC

CME Editor 

Kenneth A. Ellenbogen, MD

Author
Nadira Hamid, MD

Important Dates

Date of Release: May 3, 2023 

Term of Approval/Date of CME/MOC Expiration: May 2, 2024