ABSTRACT
Quadricuspid aortic valve (QAV) is a relatively rare valve abnormality. Patients with aortic valve regurgitation or stenosis associated with congenital abnormalities often require surgery at a relatively young age. In most cases, patients with QAV undergo aortic valve replacement. We report on a 58-year-old patient with QAV and aortic insufficiency due to enlarged aortic root. Valve-sparing aortic root replacement was performed without any procedure on the aortic leaflets.
Subject(s)
Aortic Valve/surgery , Heart Valve Prosthesis Implantation/methods , Heart Valve Prosthesis , Quadricuspid Aortic Valve/surgery , Aortic Valve/abnormalities , Aortic Valve/diagnostic imaging , Echocardiography, Transesophageal , Humans , Male , Middle Aged , Quadricuspid Aortic Valve/diagnosisABSTRACT
The quadricuspid aortic valve is an exceedingly rare congenital valvular anomaly, characterized by a tetrad of leaflets that typically presents with aortic regurgitation. Almost one third of cases are associated with coexisting cardiac defects with one fifth warranting surgical intervention. In this article, we describe the first documented-in-Caribbean case and present a brief clinical review of its pathophysiology, diagnosis, and management.
