Open AccessFrom bicuspid to quadricuspid aortic valve: The clinical case of a 38-year-old woman with chest pain
Author(s) -
Paolo Diego L’Angiocola,
Davide Liborio Vetrano,
Gerardina Lardieri
Publication year - 2019
Publication title -
journal of cardiovascular echography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.255
H-Index - 8
eISSN - 2347-193X
pISSN - 2211-4122
DOI - 10.4103/jcecho.jcecho_21_19
Subject(s) - bicuspid aortic valve , medicine , differential diagnosis , chest pain , cardiology , aortic valve , disease , rare disease , radiology , pediatrics , pathology
We report a case of a 38-year-old woman with an alleged diagnosis of bicuspid aortic valve disease that was correctly identified as quadricuspid aortic valve (QAV) disease in our cardiology unit. In this case report, we focus on echocardiographic features of this rare congenital valve disease aiming to provide useful tips to achieve correct differential diagnosis according to the updated echocardiographic international guidelines and recommendations, briefly reviewing other QAV cases reported in the current literature as well. In conclusion, we strongly recommend adhering to practical echocardiographic guidelines to reduce interobserver variability, not to miss the diagnosis of rare congenital defects like the one we reported.