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An Interesting Case of Tricuspid Aortic Valve with a Quadricuspid Function
Author(s) -
Tessitore Elena,
Müller Hajo,
NganouGnindjio Chris Nadege,
Grisel Philippe,
Šekoranja Lučka
Publication year - 2015
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.12793
Subject(s) - regurgitation (circulation) , cusp (singularity) , medicine , cardiology , aortic valve , ventricular function , radiology , mathematics , geometry
Quadricuspid aortic valve (QAV) is a rare congenital heart defect, often related to severe aortic regurgitation, and usually detected by echocardiography or at the time of aortic valve surgery. We report a case of an interesting and extremely rare variant of “false” QAV, detected preoperatively by transthoracic and transesophageal echocardiography, in a severely symptomatic patient, admitted to our hospital for dyspnea. Three leaflets of aortic valve appeared quadricuspid, because the left coronary cusp was divided into 2 parts, as confirmed by MRI and pathology. Most frequently, QAV presents with all 4 leaflets equal in size.