Unexpected Reduced Biventricular Ejection Fraction in a Healthy Young Male.

We describe the case of a 31-year-old male who came to the emergency department complaining of marked bilateral lower extremities edema, dyspnea, fatigue, and exertion intolerance. Strategies for the management of viral myocarditis with acute heart failure include pharmacological therapies and mechanical circulatory assist devices if required. Despite multiple available diagnostic methods and treatments, viral myocarditis remains as an etiology of challenging diagnosis, and poor prognosis with a high mortality rate.

Bicuspid Aortic Valve Associated with Severe Aortic Regurgitation and Large Aortic Root Aneurysm.

We described the case of a 30-year-old male who came to the Emergency Department complaining of left shoulder pain and dyspnea under exertion. A bicuspid aortic valve and aneurysm of root and ascending aorta were diagnosed. These were initially managed with medical therapy and ultimately with definitive surgical correction.