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Congenital quadricuspid aortic valve: report of nine surgical cases

Goichi Yotsumoto1, Yoshifumi Iguro, Tamahiro Kinjo

  • 1Second Department of Surgery, Kagoshima University, Faculty of Medicine, Sakuragaoka, Kagoshima, Japan.

Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
|May 7, 2003
PubMed

Insights

Congenital quadricuspid aortic valves are rare, often causing aortic regurgitation and requiring aortic valve replacement (AVR). This study details their characteristics and surgical outcomes.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Pathology

Background:

  • Congenital quadricuspid aortic valve is a rare cardiac anomaly.
  • It frequently leads to significant aortic valve dysfunction, primarily aortic regurgitation.
  • Understanding its clinicopathologic features is crucial for surgical management.

Purpose of the Study:

  • To describe the clinicopathologic characteristics of congenital quadricuspid aortic valves requiring surgical intervention.
  • To analyze the surgical outcomes of patients with this condition.

Main Methods:

  • Retrospective review of 616 aortic valve operations over 20 years.
  • Identification and analysis of nine patients with congenital quadricuspid aortic valves.
  • Macroscopic, histological, and classification (Hurwitz and Roberts) assessment of the valves.

Main Results:

  • Nine patients (1.46%) with quadricuspid aortic valves were identified, with a mean age of 60.
  • Eight patients presented with aortic regurgitation, one with aortic stenosis and mild regurgitation.
  • Histological findings included fibrous thickening and myxoid degeneration; calcification and fenestration were also observed.

Conclusions:

  • Congenital quadricuspid aortic valve is an uncommon cause of aortic valve disease.
  • Aortic valve replacement (AVR) is an effective surgical treatment for this condition.
  • Further research into valve repair strategies may be warranted.

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