Severe aortic regurgitation due to quadricuspid aortic valve in a septuagenarian

Abstract

Severe aortic regurgitation due to quadricuspid aortic valve in a septuagenarian Yetmişli yaşlarda kuadriküspit aortik kapağa bağlı ileri aort yetersizliğiA 70-year-old male presented to the outpatient clinic with complaint of exertional dyspnea. Physical examination revealed 3/4 diastolic murmur on the right sternal border. Blood pressure and heart rate were 160/70 mm Hg and 95 bpm, respectively. Electrocardiogram was normal. Severe aortic regurgitation and moderately decreased left ventricular systolic function were shown on transthoracic echocardiography. Meticulous evaluation of aortic cusps raised suspicion of quadricuspid valve ( Figure A). Two-dimensional transesophageal echocardiography confirmed degenerated quadricuspid aortic valve causing severe regurgitation (Figures B, C). Three-dimensional transesophageal echocardiography depicted quadricuspid cusps in detail ( Figure D, Video 1 * ). Valve replacement surgery was performed, and intraoperative evaluation confirmed diagnosis of quadricuspid valve ( Figure E). The patient was uneventfully discharged 1 week after surgery. CASE IMAGE