Congenital quadricuspid aortic valve associated with aortic insufficiency and mitral regurgitation

Journal of Cardiothoracic Surgery

Ju Mei¹  Fangbao Ding¹  Yunjiao Zhang¹  Shubin Wu¹  Junwen Zhang¹  Jiaquan Zhu¹ 

[1] Cardiovascular Surgery Division, Cardiac Center, Xinhua Hospital, School of Medicine, Shanghai Jiaotong University, 1665 Kongjiang Road, Shanghai 200092, China

关键词: Surgery;    Aortic regurgitation;    Quadricuspid aortic valve;   

Others  :  825909
DOI  :  10.1186/1749-8090-8-87

 received in 2013-02-18, accepted in 2013-04-09,  发布年份 2013

【 摘 要 】

Congenital quadricuspid aortic valve is a rare cardiac anomaly. More than half of the patients with this abnormality will develop aortic insufficiency in adulthood. It is vital that patients with quadricuspid aortic valve who present with progressive aortic regurgitation undergo valve replacement or repair at appropriate time. Here, we present two cases of quadricuspid aortic valve. We first describe a 58-year-old man who had mitral regurgitation and ascending aorta dilatation with quadricuspid aortic valve. He underwent aortic valve replacement and mitral valve plasty and recovered well. The second patient is a 20-year-old asymptomatic boy who has been closely followed up and has not received any surgical treatment.

【 授权许可】

   
2013 Zhu et al.; licensee BioMed Central Ltd.

【 图 表 】

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【 参考文献 】

• [1]Davia JE: Quadricuspid semilunar valves. CHEST Journal 1977, 72:186.
• [2]Feldman BJ, Khandheria BK, Warnes CA, Seward JB, Taylor CL, Tajik AJ: Incidence, description and functional assessment of isolated quadricuspid aortic valves. Am J Cardiol 1990, 65:937-938.
• [3]Yotsumoto G, Iguro Y, Kinjo T, Matsumoto H, Masuda H, Sakata R: Congenital quadricuspid aortic valve: report of nine surgical cases. Ann Thorac Cardiovasc Surg 2003, 9:134-137.
• [4]Tang YF, Xu JB, Han L, Lu FL, Lang XL, Song ZG, Xu ZY: Congenital quadricuspid aortic valve: analysis of 11 surgical cases. Chin Med J 2011, 124:2779-2781.
• [5]Nalbantgil I: Letter: Quadricuspid aortic valve. CHEST J 1975, 67:623.
• [6]Xiao Z, Meng W, Zhang E: Quadricuspid aortic valve by using intraoperative transesophageal echocardiography. Cardiovasc Ultrasound 2010, 8:36. BioMed Central Full Text
• [7]Desruennes M, Isnard R, Pavie A, Cluzel P, Metzger JP: Images in cardiovascular medicine. A quadricuspid aortic valve with severe aortic regurgitation. Circulation 2006, 114:e642-643.
• [8]Kajinami K, Takekoshi N, Mabuchi H: Images in cardiology. Non-invasive detection of quadricuspid aortic valve. Heart 1997, 78:87.
• [9]Pouleur AC, le Polain de Waroux JB, Pasquet A, Watremez C, Vanoverschelde JL, El Khoury G, Gerber BL: Successful repair of a quadricuspid aortic valve illustrated by transoesophageal echocardiography, 64-slice multidetector computed tomography, and cardiac magnetic resonance. Eur Heart J 2007, 28:2769.
• [10]Douglas H, Moore M, Purvis J: Comprehensive assessment of a quadricuspid aortic valve and coronary arteries by multidetector cardiac CT. Heart 1838, 2012:98.
• [11]Hurwitz LE, Roberts WC: Quadricuspid semilunar valve. Am J Cardiol 1973, 31:623-626.
• [12]Jagannath AD, Johri AM, Liberthson R, Larobina M, Passeri J, Tighe D, Agnihotri AK: Quadricuspid aortic valve: a report of 12 cases and a review of the literature. Echocardiography 2011, 28:1035-1040.
• [13]Janssens U, Klues HG, Hanrath P: Congenital quadricuspid aortic valve anomaly associated with hypertrophic non-obstructive cardiomyopathy: a case report and review of the literature. Heart 1997, 78:83-87.
• [14]Ozlu MF, Ozcan F, Cagli K, Golbasi Z: Quadricuspid aortic valve in a patient with mitral valve prolapse. Can J Cardiol 2008, 24:e27.
• [15]Pitta SR, Kondur A, Afonso L: Quadricuspid aortic valve associated with unruptured sinus of Valsalva aneurysm. Eur J Echocardiogr 2008, 9:575-576.
• [16]Godefroid O, Colles P, Vercauteren S, Louagie Y, Marchandise B: Quadricuspid aortic valve: a rare etiology of aortic regurgitation. Eur J Echocardiogr 2006, 7:168-170.
• [17]Naito K, Ohteki H, Yunoki J, Hisajima K, Sato H, Narita Y: Aortic valve repair for quadricuspid aortic valve associated with aortic regurgitation and ascending aortic aneurysm. J Thorac Cardiovasc Surg 2004, 128:759-760.
• [18]Attaran RR, Habibzadeh MR, Baweja G, Slepian MJ: Quadricuspid aortic valve with ascending aortic aneurysm: report of a case and discussion of embryological mechanisms. Cardiovasc Pathol 2009, 18:49-52.
• [19]Formica F, Sangalli F, Ferro O, Paolini G: A rare cause of severe aortic regurgitation: quadricuspid aortic valve. Interact Cardiovasc Thorac Surg 2004, 3:672-674.
• [20]Armen TA, Vandse R, Bickle K, Nathan N: Three-dimensional echocardiographic evaluation of an incidental quadricuspid aortic valve. Eur J Echocardiogr 2008, 9:318-320.
• [21]Schmidt KI, Jeserich M, Aicher D, Schafers HJ: Tricuspidization of the quadricuspid aortic valve. Ann Thorac Surg 2008, 85:1087-1089.
• [22]Jeanmart H, de Kerchove L, El Bitar F, Glineur D, Vandyck M, Noirhomme P, El Khoury G: Tricuspidation of quadricuspid aortic valve: case reports. J Heart Valve Dis 2007, 16:148-150.
• [23]Daprati A, Generali T, Arlati F, Roberto M: Quadricuspid Aortic Valve Plasty: Is it Worth it to Repair as an Alternative to Substitution? Ann Thorac Surg 2013, 95:e7-8.