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Quadricuspid aortic valve complicated with infective endocarditis: report of a case

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Abstract

Congenital quadricuspid aortic valve is a rare cardiac malformation with an unknown risk of infective endocarditis. We report a case of quadricuspid aortic valve complicated with infective endocarditis. A 53-year-old Japanese woman was hospitalized with leg edema and a fever of unknown origin. Corynebacterium striatum was detected in the blood culture. Echocardiography demonstrated a quadricuspid aortic valve with vegetation and severe functional regurgitation. The condition was diagnosed as a quadricuspid aortic valve with infective endocarditis, for which surgery was performed. The quadricuspid aortic valve had three equal-sized cusps and one smaller cusp (type B according to Hurwitz classification). We dissected the vegetation and infectious focus and implanted a mechanical valve. Following the case report, we review the literature.

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Kansai Rosai Hospital, 3-1-69 Inabasou, Amagasaki, Hyogo, 660-8511, Japan

    Hiroki Mizoguchi, Masayuki Sakaki, Kazushige Inoue, Yasuhiko Kobayashi, Takashi Iwata, Yasuo Suehiro & Takuya Miura

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  1. Hiroki Mizoguchi
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  2. Masayuki Sakaki
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  3. Kazushige Inoue
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  4. Yasuhiko Kobayashi
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  5. Takashi Iwata
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  6. Yasuo Suehiro
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  7. Takuya Miura
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Correspondence to Hiroki Mizoguchi.

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Mizoguchi, H., Sakaki, M., Inoue, K. et al. Quadricuspid aortic valve complicated with infective endocarditis: report of a case. Surg Today 44, 2388–2391 (2014). https://doi.org/10.1007/s00595-014-0844-1

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  • DOI: https://doi.org/10.1007/s00595-014-0844-1

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