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Quadricuspid aortic valve.

V S Luisi, A Pasqué, F Verunelli

    The Journal of Cardiovascular Surgery
    |May 1, 1984
    PubMed
    Summary
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    Quadricuspid aortic valve, a rare congenital anomaly, can lead to severe valve failure later in life. This malformation was unexpectedly identified during aortic valve replacement surgery in an elderly patient.

    Area of Science:

    • Cardiology
    • Cardiac Surgery
    • Congenital Heart Disease

    Background:

    • Aortic valve disease is a significant cause of morbidity and mortality.
    • Congenital anomalies of the aortic valve are uncommon but can have serious consequences.
    • Quadricuspid aortic valve is a rare variant with varying clinical presentations.

    Observation:

    • A case of quadricuspid aortic valve was incidentally discovered during aortic valve replacement surgery.
    • The patient was a 70-year-old woman undergoing surgery for aortic valve failure.
    • Macroscopic and histological examinations revealed no evidence of prior inflammatory processes.

    Findings:

    • The quadricuspid aortic valve was identified as a congenital malformation.
    • Histological analysis ruled out inflammatory or degenerative causes for the valve anomaly.

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  • The findings suggest that quadricuspid aortic valve can manifest as severe valve dysfunction in later life.

    • Implications:

    • Quadricuspid aortic valve should be considered in the differential diagnosis of aortic valve disease, even in the absence of typical risk factors.
    • This malformation can lead to significant aortic valve failure, necessitating surgical intervention.
    • Further research into the long-term outcomes and management strategies for quadricuspid aortic valve is warranted.