Quadricuspid aortic valve; a rare cause of aortic insufficiency

Heart ◽  
2008 ◽  
Vol 94 (7) ◽  
pp. 866-866
Author(s):  
S Basavarajaiah ◽  
R S Uberoi ◽  
S Sharma
Keyword(s):  
Aortic Valve ◽  
Aortic Insufficiency ◽  
Quadricuspid Aortic Valve

Quadricuspid Aortic Valve Repair Facilitated by Geometric Ring Annuloplasty

2021 ◽  
pp. 155698452110030
Author(s):  
Joseph A. McGuire ◽  
Heather K. Hayanga ◽  
Jeremiah W. Hayanga ◽  
Daniel Sloyer ◽  
Matthew Ellison ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Patient Outcomes ◽  
Systematic Approach ◽  
Aortic Insufficiency ◽  
Aortic Valve Repair ◽  
Autologous Reconstruction ◽  
Quadricuspid Aortic Valve ◽  
Valve Repair ◽  
Ring Annuloplasty ◽  
Annular Geometry

Quadricuspid aortic valve (QAV) is a rare congenital anomaly often associated with aortic insufficiency. The exact anatomy of QAV is variable, and most cases have undergone aortic valve replacement. With the recognition that aortic valve repair achieves superior patient outcomes as compared to replacement, a systematic approach to autologous reconstruction of QAV is needed. This article reports 2 cases having successful repair utilizing geometric aortic annuloplasty rings, and describes a proposed scheme for repairing most QAV defects, based on relative leaflet and commissural characteristics. Using either tri-leaflet or bicuspid ring annuloplasty, the normal sub-commissural triangles can be remodeled into a 120° or 180° configuration, respectively, and then the leaflets can be sutured and plicated to fit annular geometry. With this approach, most quadricuspid valves potentially could undergo autologous reconstruction.

Quadricuspid Aortic Valve With Aortic Insufficiency: Case Report and Review of the Literature

2007 ◽  
Vol 22 (3) ◽  
pp. 235-237 ◽  
Author(s):  
Natalie F. Holt ◽  
Murali Sivarajan ◽  
Divakar Mandapati ◽  
Yevgeniy Printsev ◽  
John A. Elefteriades
Keyword(s):  
Case Report ◽  
Aortic Valve ◽  
Aortic Insufficiency ◽  
Quadricuspid Aortic Valve ◽  
Review Of The Literature

scholarly journals Quadricuspid Aortic Valve Combined with Moderate Ascending Aortic Dilatation

Aorta ◽  
2015 ◽  
Vol 03 (06) ◽  
pp. 187-190 ◽  
Author(s):  
Vladimir Uspenskiy ◽  
Alexei Osadchii ◽  
Mikhail Gordeev
Keyword(s):  
Aortic Valve ◽  
Aortic Stenosis ◽  
Aortic Insufficiency ◽  
Computed Tomographic Angiography ◽  
Aortic Dilatation ◽  
Quadricuspid Aortic Valve ◽  
Severe Aortic Regurgitation ◽  
Computed Tomographic ◽  
Tomographic Angiography

AbstractThe quadricuspid aortic valve is a very uncommon malformation associated with aortic insufficiency, aortic stenosis, endocarditis, and ascending aortic dilatation. We report four cases of this aortic valve malformation. One patient with severe aortic regurgitation and moderate aortic dilatation required aortic valve replacement. Three patients had mild or moderate aortic insufficiency combined with moderate ascending aortic dilatation. These patients were referred to follow-up. The presented cases demonstrate that this aortic valve malformation may not be as rare as it appears and that attention must be paid to any quadricuspid findings during computed tomographic angiography and echocardiography.

scholarly journals Congenital quadricuspid aortic valve associated with aortic insufficiency and mitral regurgitation

2013 ◽  
Vol 8 (1) ◽  
Author(s):  
Jiaquan Zhu ◽  
Junwen Zhang ◽  
Shubin Wu ◽  
Yunjiao Zhang ◽  
Fangbao Ding ◽  
...  
Keyword(s):  
Aortic Valve ◽  
Mitral Regurgitation ◽  
Aortic Insufficiency ◽  
Quadricuspid Aortic Valve

scholarly journals Closure of the left coronary artery orifice by a cusp of quadricuspid aortic valve with aortic insufficiency

Cor et Vasa ◽  
2011 ◽  
Vol 53 (10) ◽  
pp. 552-554
Author(s):  
Věra Pečenková ◽  
Tomáš Marek ◽  
Vladimír Karmazín ◽  
Jan Pirk ◽  
Tomáš Miřejovský ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Aortic Valve ◽  
Left Coronary Artery ◽  
Aortic Insufficiency ◽  
Quadricuspid Aortic Valve

scholarly journals Quadricuspid aortic valve; a rare cause of aortic insufficiency

2009 ◽  
Vol 2009 (feb04 1) ◽  
pp. brc2007125385-brc2007125385
Author(s):  
S Basavarajaiah ◽  
R S Uberoi ◽  
S Sharma
Keyword(s):  
Aortic Valve ◽  
Aortic Insufficiency ◽  
Quadricuspid Aortic Valve

scholarly journals Quadricuspid Aortic Valve Defined by Echocardiography and Cardiac Computed Tomography

2012 ◽  
Vol 6 ◽  
pp. CMC.S8952 ◽  
Author(s):  
Daniel W. Karlsberg ◽  
Yaron Elad ◽  
Robert M. Kass ◽  
Ronald P. Karlsberg
Keyword(s):  
Computed Tomography ◽  
Aortic Valve ◽  
Cardiac Ct ◽  
Cardiac Computed Tomography ◽  
Invasive Coronary Angiography ◽  
Aortic Insufficiency ◽  
Dynamic Imaging ◽  
Quadricuspid Aortic Valve ◽  
Severe Aortic Regurgitation

A 54 year old female presented with lower extremity edema, fatigue, and shortness of breath with physical findings indicative of advanced aortic insufficiency. Echocardiography showed severe aortic regurgitation and a probable quadricuspid aortic valve. In anticipation of aortic valve replacement, cardiac computed tomography (Cardiac CT) was performed using 100 kV, 420 mA which resulted in 6 mSv of radiation exposure. Advanced computing algorithmic software was performed with a non-linear interpolation to estimate potential physiological movement. Surgical photographs and in-vitro anatomic pathology exam reveal the accuracy and precision that preoperative Cardiac CT provided in this rare case of a quadricuspid aortic valve. While there have been isolated reports of quadricuspid diagnosis with Cardiac CT, we report the correlation between echocardiography, Cardiac CT, and similar appearance at surgery with confirmed pathology and interesting post-processed rendered images. Cardiac CT may be an alternative to invasive coronary angiography for non-coronary cardiothoracic surgery with the advantage of providing detailed morphological dynamic imaging and the ability to define the coronary arteries non-invasively. The reduced noise and striking depiction of the valve motion with advanced algorithms will require validation studies to determine its role.

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