2015
DOI: 10.1002/ccr3.126
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Quadricuspid aortic valve and anomalous origin of the left circumflex coronary artery in a young man with Down syndrome

Abstract: Key Clinical MessageThe Authors present the case of an asymptomatic 36-year-old man, affected by Down syndrome, with an unexpected quadricuspid aortic valve coupled with the anomalous origin of the left circumflex coronary artery from the proximal right coronary artery. This is the first report of the concomitant presence of these three conditions.

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Cited by 2 publications
(3 citation statements)
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“…Patients with QAV mostly present with aortic insufficiency and less commonly aortic stenosis [5]. More than half will present in adulthood with features of aortic insufficiency and more than 50% will require aortic valvular replacement in the sixth and seventh decade of life due to worsening aortic regurgitation [2, 19]. Infective endocarditis occurs in 1.4% of these patients [8] depending on the Hurwitz classification and its effect on dynamics of blood flow across the valve as mechanical stress on the abnormal valves [20] is thought to play a key role.…”
Section: Discussionmentioning
confidence: 99%
“…Patients with QAV mostly present with aortic insufficiency and less commonly aortic stenosis [5]. More than half will present in adulthood with features of aortic insufficiency and more than 50% will require aortic valvular replacement in the sixth and seventh decade of life due to worsening aortic regurgitation [2, 19]. Infective endocarditis occurs in 1.4% of these patients [8] depending on the Hurwitz classification and its effect on dynamics of blood flow across the valve as mechanical stress on the abnormal valves [20] is thought to play a key role.…”
Section: Discussionmentioning
confidence: 99%
“…The exactly genetic causation of CHD is unclear and about ~50% Down syndrome patients [25] have CHD; therefore, the parents or their babies/fetus who have abnormal karyotypes were excluded from this study.…”
Section: Methodsmentioning
confidence: 99%
“…All the control and CHD subjects recruited in this study and their babies/fetus were all diagnosed in the Prenatal Diagnosis Center (also called the Medical Genetic Center) by karyotype analysis of peripheral blood or amniotic fluid. The exactly genetic causation of CHD is unclear and about ~50% Down syndrome patients [ 25 ] have CHD; therefore, the parents or their babies/fetus who have abnormal karyotypes were excluded from this study.…”
Section: Methodsmentioning
confidence: 99%