Quadricuspid pulmonary valve and left pulmonary artery aneurysm in an asymptomatic patient assessed by cardiovascular MRI

Nollen, Gijs J.; Kodde, Jan; Beek, Aernout M.; J., J. C.; Rossum, Albert C. van

doi:10.1007/s12471-011-0115-3

Cited by 10 publications

(4 citation statements)

References 7 publications

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“…This malformation is also commonly associated with patent ductus arteriosus, atrial and ventricular septal defects, coarctation of the aorta, and pulmonary artery aneurysm [ 2 ]. Due to the anatomical location of the valve with respect to the thoracic wall, diagnosis by two-dimensional echocardiogram is difficult; however advances in cardiac imaging, including multidimensional computerized tomography (CT), transthoracic echocardiogram (TTE), and magnetic resonance imaging (MRI), have allowed for effective, non-invasive means of diagnosis [ 2 , 6 ]. Abnormal function has been reported in approximately 4% of cases, mostly in the form of insufficiency following stenosis [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Quadricuspid pulmonic valve found on well exam

Dunay

Avedissian

2015

Military Med Res

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Quadricuspid pulmonic valve (QPV) is almost always a benign anomaly and is therefore usually discovered incidentally on radiographic studies or post-mortem at autopsy. Because of its rarity, the true extent of the physiology of QPV is not fully understood, and the few reported cases of it may underestimate its physiological consequences. In this case, we report on a young active-duty solider who presented for a well check-up and was discovered on imaging to have a QPV. We also review the most recent literature and provide recommendations regarding the most effective diagnostic modalities.Electronic supplementary materialThe online version of this article (doi:10.1186/s40779-015-0037-2) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Quadricuspid pulmonic valve found on well exam

Dunay

Avedissian

2015

Military Med Res

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“…CMR is an excellent tool for the visualization of both pulmonary valves and arteries. In Class II, patients with pulmonary vessels abnormalities, CMR can identify the abnormal origin of the left coronary artery from the pulmonary artery [ 50 ], a quadricuspid pulmonary valve and left pulmonary artery aneurysm [ 51 ], and pulmonary valve regurgitation in patients with repaired Fallot tetralogy [ 52 ]. Furthermore, ventricular function and myocardial scar before and early after repair of an anomalous left coronary artery from the pulmonary artery and/or Fallot tetralogy can be successfully assessed by CMR [ 53 ].…”

Section: Cmr For the Evaluation Of Cardiovascular Involvement In Rcdsmentioning

confidence: 99%

Cardiovascular Magnetic Resonance Imaging Patterns in Rare Cardiovascular Diseases

Markousis‐Mavrogenis

Giannakopoulou

Belegrinos

et al. 2022

JCM

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Rare cardiovascular diseases (RCDs) have low incidence but major clinical impact. RCDs’ classification includes Class I—systemic circulation, Class II—pulmonary circulation, Class III—cardiomyopathies, Class IV—congenital cardiovascular diseases (CVD), Class V—cardiac tumors and CVD in malignancy, Class VI—cardiac arrhythmogenic disorders, Class VII—CVD in pregnancy, Class VIII—unclassified rare CVD. Cardiovascular Magnetic Resonance (CMR) is useful in the diagnosis/management of RCDs, as it performs angiography, function, perfusion, and tissue characterization in the same examination. Edema expressed as a high signal in STIRT2 or increased T2 mapping is common in acute/active inflammatory states. Diffuse subendocardial fibrosis, expressed as diffuse late gadolinium enhancement (LGE), is characteristic of microvascular disease as in systemic sclerosis, small vessel vasculitis, cardiac amyloidosis, and metabolic disorders. Replacement fibrosis, expressed as LGE, in the inferolateral wall of the left ventricle (LV) is typical of neuromuscular disorders. Patchy LGE with concurrent edema is typical of myocarditis, irrespective of the cause. Cardiac hypertrophy is characteristic in hypertrophic cardiomyopathy (HCM), cardiac amyloidosis (CA) and Anderson–Fabry Disease (AFD), but LGE is located in the IVS, subendocardium and lateral wall in HCM, CA and AFD, respectively. Native T1 mapping is increased in HCM and CA and reduced in AFD. Magnetic resonance angiography provides information on aortopathies, such as Marfan, Turner syndrome and Takayasu vasculitis. LGE in the right ventricle is the typical finding of ARVC, but it may involve LV, leading to the diagnosis of arrhythmogenic cardiomyopathy. Tissue changes in RCDs may be detected only through parametric imaging indices.

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“…The combination of PAA and QPV has been reported only rarely . Extension of the aneurysm into the right or left pulmonary artery may be seen …”

Section: Introductionmentioning

confidence: 99%

“…Pulmonary artery aneurysms (PAA) are also rare, reported to be seen in approximately 1 in 14 000 autopsies and are more commonly seen in the main pulmonary artery . Half occur in congenital structural heart diseases (left to right shunts, pulmonic stenosis) and the remainder in infectious diseases, connective tissue disorders, pulmonary hypertension, atherosclerosis, trauma, and idiopathic …”

Section: Introductionmentioning

confidence: 99%

Multimodality imaging of quadricuspid pulmonary valve associated with pulmonary artery aneurysm

Ansari-Gilani

Hoit²,

Gilkeson

2019

Echocardiography

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Quadricuspid pulmonary valve is a rare entity that can be associated with pulmonary artery aneurysm. It is usually asymptomatic and diagnosed incidentally. Association with other congenital or acquired heart diseases has been reported. Echocardiography and gated CT angiography can provide useful functional and anatomic information that can help in the diagnosis and management. K E Y W O R D Saneurysm, CT angiography, echocardiography, pulmonary artery, pulmonary valve, quadricuspid

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Quadricuspid pulmonary valve and left pulmonary artery aneurysm in an asymptomatic patient assessed by cardiovascular MRI

Cited by 10 publications

References 7 publications

Quadricuspid pulmonic valve found on well exam

Quadricuspid pulmonic valve found on well exam

Cardiovascular Magnetic Resonance Imaging Patterns in Rare Cardiovascular Diseases

Multimodality imaging of quadricuspid pulmonary valve associated with pulmonary artery aneurysm

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