Quadricuspid aortic valve – A case report and literature review

Malviya, Amit; Jha, Pravin Kumar; Ashwin,; Mishra, Jaya; Srivastava, Prabin; Mishra, Alok

doi:10.1016/j.ehj.2015.09.003

Cited by 18 publications

(40 citation statements)

References 26 publications

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“…With the advent of echocardiography and other imaging diagnostic techniques, QAVs are increasingly reported [ 5 ] .…”

Section: Introductionmentioning

confidence: 99%

Quadricuspid Aortic Valve: A Comprehensive Review

Yuan¹

2016

Brazilian Journal of Cardiovascular Surgery

109

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Quadricuspid aortic valve (QAV) is a rare congenital heart disease. The functional status of QAV is predominantly a pure aortic regurgitation. Clinical manifestations of patients with a QAV depend on the functional status of the QAV and the associated disorders. Significant valvular regurgitation and (or) stenosis is often present with subsequent operation performed at the fifth to sixth decade of life. The functional status of QAV is predominantly regurgitant; whereas pure stenotic QAV can be as few as in only 0.7% of the patients. QAV is usually an isolated anomaly, but other congenital heart defects can be present in 18-32% of the patients. About one-fifth of them require a surgical operation. Tricuspidalization is a preferred technique for QAV repair. As not all the patients with a QAV necessarily warrant a surgical operation, decision-making in patient selection and surgical procedure of choice are crucial. Antibiotic prophylaxis against infective endocarditis is necessary in the QAV patients with unequal-sized cusps.

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“…With the advent of echocardiography and other imaging diagnostic techniques, QAVs are increasingly reported [ 5 ] .…”

Section: Introductionmentioning

confidence: 99%

Quadricuspid Aortic Valve: A Comprehensive Review

Yuan¹

2016

Brazilian Journal of Cardiovascular Surgery

109

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“…[2] This valvulopathy has been documented to have a predominance for men, with a mean presenting age between 45 and 60 years of age. [3] Although the patient presented without any revealing symptoms, the quadricuspid aortic valve has been reported with chest pain, dyspnea, palpitations, and syncope. [4] Importantly, this anomaly is associated with other anatomical abnormalities such as aberrant coronary arteries, ventricular septal defects, patent ductus arteriosus, and pulmonary stenosis.…”

Section: Discussionmentioning

confidence: 99%

Quadricuspid aortic valve associated with aortic insufficiency contributors

et al. 2019

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A 51-year-old male presented with a wound in his right hand that was suspicious for possible septic emboli of cardiac origin. With transesophageal echocardiography, the patient was found to have a rare quadricuspid aortic valve. This quadricuspid valve can present with variable symptoms and physical exam findings. Due to embryological defects, this pathology is associated with several other anatomical defects that are important to recognize prior to surgical intervention. Transesophaegeal echocardiography remains the gold standard in detection of quadricuspid aortic valve and identification of other possible cardiac lesions.

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“…It has been stated that 77% of the cases with equal sized quadricuspid leaflets are detected with the presence of aortic regurgitation [12], as such 66% of whom presented severe, 8% moderate and 8% mild aortic regurgitation, and 13% had regurgitation and aortic stenosis [8]. In present case, QAV is constituted of four equal size cusps, but associated with moderate AR and left ventricular hypertrophy.…”

Section: Discussionmentioning

confidence: 79%

“…This was probably due to lack of availability of proper diagnostic tools to confirm the occurrence of QAV. Most cases were discovered sporadically during autopsy (0.008%), echocardiography(0.043%), angiography, or aortic valve surgery (1%) [12]. At certain circumstances, detection of aortic valve abnormality may be misguided on depending upon only one type of diagnostic tool.…”

Section: Discussionmentioning

confidence: 99%