Quadricuspid Aortic Valve: Three Cases Report and Literature Review

Veronese, Elinthon Tavares; Brandão, Carlos Manuel de Almeida; Steffen, Samuel Padovani; Pomerantzeff, Pablo Maria Alberto; Jatene, Fábio Biscegli

doi:10.21470/1678-9741-2018-0125

Cited by 6 publications

(12 citation statements)

References 5 publications

(9 reference statements)

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“…incidence of QAV, which is slight male predominant, is about 0.7% ; other ( 1 ) congenital heart defects can be present in 18-32% of these patients (coronary artery and coronary ostium anomalies, atrial or ventricular septal defect, patent ductus arteriosus, etc) . There are two classification (1) for QAV based on the relative size (from A to H type; Figure 2A) and on the position (from I to IV type; Figure 2B) of the supernumerary cusp . Progressive cusp fibrosis with ( 1 ) subsequent failure of cusp coaptation, remodeling .…”

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confidence: 99%

“…There are two classification (1) for QAV based on the relative size (from A to H type; Figure 2A) and on the position (from I to IV type; Figure 2B) of the supernumerary cusp . Progressive cusp fibrosis with ( 1 ) subsequent failure of cusp coaptation, remodeling . The optimal technique for QAV (1)(2)(3) repair is considered to be tricuspidalization, although aortic valve replacement can be used .…”

mentioning

confidence: 99%

“…Progressive cusp fibrosis with ( 1 ) subsequent failure of cusp coaptation, remodeling . The optimal technique for QAV (1)(2)(3) repair is considered to be tricuspidalization, although aortic valve replacement can be used . Patient selection and surgical ( 1 ) procedure type are very important, as not all p a t i e n t s w i t h Q AV r e q u i r e s u r g i c a l correction .…”

mentioning

confidence: 99%

“…The optimal technique for QAV (1)(2)(3) repair is considered to be tricuspidalization, although aortic valve replacement can be used . Patient selection and surgical ( 1 ) procedure type are very important, as not all p a t i e n t s w i t h Q AV r e q u i r e s u r g i c a l correction . Patient prognosis depends on, (1,2) cardiac risk factors, associated comorbidities and surgical treatment type.…”

mentioning

confidence: 99%

“…Patient selection and surgical ( 1 ) procedure type are very important, as not all p a t i e n t s w i t h Q AV r e q u i r e s u r g i c a l correction . Patient prognosis depends on, (1,2) cardiac risk factors, associated comorbidities and surgical treatment type.…”

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confidence: 99%

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Quadricuspid Aortic Valve

2020

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Quadricuspid Aortic Valve

2020

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Quadricuspid aortic valve and a large patent ductus arteriosus treated with device closure

2021

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Quadricuspid aortic valve is a remarkably rare congenital cardiac anomaly that predominantly becomes regurgitant with the passage of time. Aortic valve stenosis and aortic root dilatation are less common in quadricuspid aortic valve as compared to bicuspid aortic valve. The clinical presentation depends upon the functional status of the aortic valve, left ventricular function, and associated cardiac or coronary anomalies. The quadricuspid aortic valve is easily visualised during transthoracic echocardiogram with a characteristic X pattern of aortic valve in diastole. The association of quadricuspid aortic valve with patent ductus arteriosus is exceedingly rare. We are reporting a case of young girl with mildly regurgitant quadricuspid aortic valve, large patent ductus arteriosus, and volume-loaded left heart who underwent a successful device closure of her patent ductus arteriosus. To the best of our knowledge, such a case is being reported from Pakistan for the first time.

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Infective endocarditis of quadricuspid aortic valve

Goodman

Amirjamshidi

Ziazadeh

et al. 2023

J Cardiothorac Surg

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Background Infective endocarditis of the aortic valve is a relatively common disease presentation, with surgical intervention a mainstay of treatment in severe cases. Quadricuspid aortic valves are a rare spontaneous developmental anomaly that are more likely to be asymptomatic, and less likely to require a full valve replacement than their hypocuspid counterparts. However, there is very little literature addressing infective endocarditis of this valve variant. Case presentation This case report presents a case of infective endocarditis of a quadricuspid aortic valve that required replacement with a surgical bioprosthetic valve. The patient is a 30 year old male with a history of polysubstance use, upper extremity aneurysm, and prior tricuspid valve endocarditis. Surgical aortic valve replacement was performed with a 25 mm tissue valve via median sternotomy. Conclusions The patient made a full recovery after surgical aortic valve replacement and a course of antibiotics and was discharged home without any complications. This supports that surgical aortic valve replacement is feasible and safe in patients with polycuspid aortic valve endocarditis.

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Quadricuspid Aortic Valve: Three Cases Report and Literature Review

Cited by 6 publications

References 5 publications

Quadricuspid Aortic Valve

Quadricuspid Aortic Valve

Quadricuspid aortic valve and a large patent ductus arteriosus treated with device closure

Infective endocarditis of quadricuspid aortic valve

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