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Quadricuspid aortic valve associated with aortic stenosis and regurgitation

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Abstract

A 75-year-old man with moderate aortic stenosis and regurgitation admitted due to heart failure underwent uneventful aortic valve replacement with a Carpentier-Edwards pericardial bioprosthesis valve. A quadricuspid aortic valve discovered incidentally during surgery consisted of 4 of different sizes and a supernumerary cusp between the right and noncoronary cusps. No coronary abnormality was involved. Resected cusps showed fibrotic thickening with calcification and no sign of previous inflammatory disease. Although quadricuspid aortic valve is a very rare anomaly, its potential for severe valve failure in adulthood should not be neglected.

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References

  1. Balington, quoted by Robicsek, F., Sanger PW, Daugherty HK, Montgomery CC. Congenital quadricuspid aortic valve with displacement of the left coronary orifice. Am J Cardiol 1969; 23: 288–90.

    Article  Google Scholar 

  2. Simonds JP. Congenital malformation of the aortic and pulmonary valves. Am J Med Sci 1923; 166: 584–95.

    Article  Google Scholar 

  3. Olson LJ, Subramanian R, Edwards WD. Surgical pathology of pure aortic insufficiency: a study of 225 cases. Mayo Clin Proc 1984; 59: 853–61.

    Google Scholar 

  4. Choh S, Shiono M, Orime Y, Hata H, Yagi S, Yamamoto T, et al. Two cases of quadricuspid aortic valve: Pre-operative diagnosis and surgical treatment. Ann Thorac Cardiovasc Surg 2000; 6: 186–9.

    PubMed  CAS  Google Scholar 

  5. Peretz DI, Changfoot GH, Gourlay RH. Four-cusped aortic valve with significant hemodynamic abnormality. Am J Cardiol 1969; 23: 291–3.

    Article  PubMed  CAS  Google Scholar 

  6. Hurwitz LE, Roberts WC. Quadricuspid semilunar valve. Am J Cardiol 1973; 31: 623–6.

    Article  PubMed  CAS  Google Scholar 

  7. Iglesias A, Oliver J, Munoz JE, Nunez L. Quadricuspid aortic valve associated with fibromuscular subaortic stenosis and regurgitation treated by conservative surgery. Chest 1981; 80: 327–8.

    Article  PubMed  CAS  Google Scholar 

  8. Chandrasekaran K, Tajik AJ, Edwards WD, Seward JB. Two-dimensional echocardiographic diagnosis of quadricuspid aortic valve. Am J Cardiol 1984; 53: 1732–3.

    Article  PubMed  CAS  Google Scholar 

  9. Robicsek F, Sanger PW, Daugherty HK, Montgomery CC. Congenital quadricuspid aortic valve with displacement of the left coronary orifice. Am J Cardiol 1969; 23: 288–90.

    Article  PubMed  CAS  Google Scholar 

  10. Aovagi S, Kawara T, Yasunaga H, Kosuga K, Oishi K. Congenital quadricuspid aortic valve associated with aortic regurgitation. Thorac Cardiovasc Surg 1992; 40: 225–6.

    Article  Google Scholar 

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Nakamura, Y., Taniguchi, I., Saiki, m. et al. Quadricuspid aortic valve associated with aortic stenosis and regurgitation. Jpn J Thorac Cardiovasc Surg 49, 714–716 (2001). https://doi.org/10.1007/BF02913511

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  • DOI: https://doi.org/10.1007/BF02913511

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