Related Experiment Video
Updated: May 17, 2026
14:14
Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Valve replacement via upper partial sternotomy for quadricuspid aortic valve.
Yukiharu Sugimura1, Masanori Katoh, Takashi Murakami
1Department of Cardiovascular Surgery, Fuji Heavy Industries Health Insurance Society Ota Memorial Hospital, 455-1 Oshima-cho, Ota, Gunma 373-8585, Japan. sugiharu0204@gmail.com
General Thoracic and Cardiovascular Surgery
|November 2, 2012
Summary
A rare quadricuspid aortic valve caused severe aortic regurgitation and chronic heart failure in a 52-year-old man. Surgical aortic valve replacement was successfully performed, resolving the heart failure symptoms.
Area of Science:
- Cardiology
- Cardiac Surgery
- Medical Imaging
Background:
- Chronic heart failure presents a significant clinical challenge.
- Aortic regurgitation is a common cause of heart failure.
- Congenital aortic valve anomalies are rare but can lead to significant pathology.
Observation:
- A 52-year-old male presented with symptoms of chronic heart failure.
- Clinical examination revealed a Levine 3/6 diastolic murmur.
- Chest X-ray showed left ventricular enlargement.
Findings:
- Transthoracic echocardiography indicated moderately severe aortic regurgitation.
- Preoperative 3D transesophageal echocardiography identified a quadricuspid aortic valve with equal-sized cusps.
- Left ventricular dimensions were enlarged (75/59 mm) with reduced ejection fraction (41%).
Implications:
- Quadricuspid aortic valve is a rare cause of significant aortic regurgitation and heart failure.
- Advanced imaging like 3D TEE is crucial for diagnosing rare valve anomalies.
- Surgical aortic valve replacement can effectively treat heart failure secondary to aortic valve disease.
More Related Videos
Related Concept Videos
01:26Mitral Stenosis III: Medical Management
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
01:25Aortic Regurgitation III: Medical Management
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...