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Early failure of quadricuspid aortic valve tricuspidization due to dehiscence of approximating coronary cusps

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Abstract

A 48-year-old woman diagnosed with aortic regurgitation showing a quadricuspid aortic valve (QAV) underwent repair with tricuspidization. Two non-coronary cusps (NCC) with fenestrations were detected intraoperatively. Tricuspidization of QAV was performed by approximating the two NCCs via interrupted sutures. The aortic annulus was plicated by subcommissural annuloplasty. The residual aortic regurgitation was mild, with a vena contracta of 2.1 mm. On postoperative day 5, echocardiography demonstrated a new regurgitation from the middle of the neo-NCC, and increased central regurgitation. Intraoperative findings showed the dehiscence of approximating sutures of the neo-NCC. Mechanical valve replacement was performed uneventfully.

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Conflict of interest

The authors have declared that no conflict of interest exists.

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Authors and Affiliations

  1. Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto, 602-8566, Japan

    Suguru Ohira, Kiyoshi Doi & Hitoshi Yaku

  2. Department of Cardiology, Kyoto Prefectural University of Medicine, Kyoto, Japan

    Tetsuhiro Yamano

Authors
  1. Suguru Ohira
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  2. Kiyoshi Doi
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  3. Tetsuhiro Yamano
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  4. Hitoshi Yaku
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Correspondence to Suguru Ohira.

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Ohira, S., Doi, K., Yamano, T. et al. Early failure of quadricuspid aortic valve tricuspidization due to dehiscence of approximating coronary cusps. J Echocardiogr 12, 75–77 (2014). https://doi.org/10.1007/s12574-014-0214-4

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  • DOI: https://doi.org/10.1007/s12574-014-0214-4

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