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[The quadri-cusp aortic valve: a congenital defect, responsible for pathologic changes?]

C Vicol1, G Rupp, E Struck

  • 1Herzchirurgische Klinik, Zentralklinikum Augsburg.

Zeitschrift Fur Kardiologie
|July 1, 1997
PubMed
Summary

A rare quadricuspid aortic valve caused significant insufficiency in a 61-year-old patient. Surgical intervention included aortic valve replacement and bypass myocardial revascularization.

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Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Congenital Heart Disease

Background:

  • Quadricuspid aortic valve is a rare congenital anomaly.
  • Aortic valve disease can lead to significant cardiovascular complications.
  • Coronary artery disease often coexists with valvular heart disease.

Observation:

  • A 61-year-old patient presented with symptomatic quadricuspid aortic valve insufficiency.
  • The insufficiency developed late in life, potentially due to post-endocarditic changes.
  • The patient also had three-vessel coronary artery disease.

Findings:

  • Successful surgical treatment involved aortic valve replacement.
  • Coronary bypass surgery was performed concurrently (myocardial revascularization).

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  • The case highlights the late-onset symptomatic presentation of congenital quadricuspid aortic valve disease.

    • Implications:

    • This case underscores the importance of recognizing and managing rare congenital heart anomalies.
    • Timely surgical intervention can effectively treat complex valvular and coronary disease.
    • Further discussion on the pathophysiology of quadricuspid aortic valves is warranted.