Abstract
Quadricuspid aortic valve (QAV) is a rare congenital heart valve disease, and more than half of QAV patients have severe aortic regurgitation (AR). We describe the case of a 66-year-old woman with QAV detected by transthoracic echocardiography during a medical checkup. Doppler echocardiographic examination showed mild aortic stenosis and mild AR. The patient has been under routine medical review without medication therapy. At follow-up echocardiographic examinations over a 4-year period, no significant changes in severity of aortic stenosis or AR were found. The clinical and functional characteristics of 192 cases of QAV were reviewed. The functional status of the QAV was known in 144 cases; of these, only 13 (9%) had both aortic stenosis and AR.
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References
JE Davia JJ Fenoglio CM DeCastro et al. (1977) ArticleTitleQuadricuspid semilunar valves Chest 72 186–9 Occurrence Handle884980 Occurrence Handle10.1378/chest.72.2.186 Occurrence Handle1:STN:280:DyaE2s3isVKhtw%3D%3D
JP Simonds (1923) ArticleTitleCongenital malformation of the aortic and pulmonary valves Am J Med Sci 166 584–95 Occurrence Handle10.1097/00000441-192310000-00013
BJ Feldman BK Khandheria CA Warnes et al. (1990) ArticleTitleIncidence, description and functional assessment of isolated quadricuspid aortic valves Am J Cardiol 65 937–8 Occurrence Handle2181849 Occurrence Handle10.1016/0002-9149(90)91446-D Occurrence Handle1:STN:280:DyaK3c3gvF2jsA%3D%3D
U Janssens HG Klues P Hanrath (1997) ArticleTitleCongenital quadricuspid aortic valve anomaly associated with hypertrophic non-obstructive cardiomyopathy: a case report and review of the literature Heart 78 83–7 Occurrence Handle9290407 Occurrence Handle1:STN:280:DyaK2svjsFOnsg%3D%3D
DM Hwang CM Feindel JW Butany (2003) ArticleTitleQuadricuspid semilunar valves: report of two cases Can J Cardiol 19 938–42 Occurrence Handle12876615
O Tutarel (2004) ArticleTitleThe quadricuspid aortic valve: a comprehensive review J Heart Valve Dis 13 534–7 Occurrence Handle15311857
Y Yamagishi S Yuda K Naito et al. (2006) ArticleTitleA case of quadricuspid aortic valve with congestive heart failure due to juvenile hypertension Shinzo 38 257–61
O Akdemir H Surucu G Ozbay (2002) ArticleTitleIncidental detection of a quadricuspid aortic valve by transesophageal echocardiography in a patient with ruptured mitral valve chorda J Heart Valve Dis 11 755–6 Occurrence Handle12358416
RL Herman IS Cohen K Glaser et al. (1984) ArticleTitleDiagnosis of incompetent quadricuspid aortic valve by two-dimensional echocardiography Am J Cardiol 53 972 Occurrence Handle6702660 Occurrence Handle10.1016/0002-9149(84)90546-0 Occurrence Handle1:STN:280:DyaL2c7ltVGrtw%3D%3D
H Ohnishi S Sato Y Nozawa et al. (1999) ArticleTitleA case of quadricuspid aortic valve diagnosed by transesophageal echocardiography Shinzo 31 351–6
N Yener A Resatoglu AE elunr El et al. (2004) ArticleTitleQuadricuspid aortic valve: a chance for repair J Heart Valve Dis 13 860–2 Occurrence Handle15478242
K Naito H Ohteki J Yunoki et al. (2004) ArticleTitleAortic valve repair for quadricuspid aortic valve associated with aortic regurgitation and ascending aortic aneurysm J Thorac Cardiovasc Surg 128 759–60 Occurrence Handle15514607 Occurrence Handle10.1016/j.jtcvs.2004.03.038
M Teragaki Y Sakai K Asawa et al. (2004) ArticleTitleQuadricuspid aortic valve: report of three cases Am J Med Sci 328 281–5 Occurrence Handle15545845 Occurrence Handle10.1097/00000441-200411000-00008
Y Sudo Y Makino T Murakami (2004) ArticleTitleA rare combination of impending rupture of an aortic arch aneurysm associated with an aberrant right subclavian artery, quadricuspid aortic valve and idiopathic thrombocytopenic purpura Jpn J Cardiovasc Surg 33 102–5
Y Saito M Aota H Koike et al. (2004) ArticleTitleSurgical treatment of aortic valve regurgitation due to infective endocarditis associated with congenital quadricuspid aortic valve Jpn J Cardiovasc Surg 33 306–8
M Isaka Y Hamanaka N Mitsui et al. (2004) ArticleTitleAn operated case of aortic valve insufficiency due to four-cusped aortic valve J Jpn Surg Assoc 65 2885–8
H Hojo Y Yokote S Kyo (2003) ArticleTitleA case of aortic regurgitation due to quadricuspid aortic valve with ventricular septal defect and double chamber right ventricle J Jpn Coll Surg 28 874–8
K Matsuzaki H Unno Y Sakakibara et al. (2004) ArticleTitleSurgical cases of congenital quadricuspid aortic valve J Ibaraki Soc Rural Med 17 68–72
LE Hurwitz WC Roberts (1973) ArticleTitleQuadricuspid semilunar valve Am J Cardiol 31 623–6 Occurrence Handle4698133 Occurrence Handle10.1016/0002-9149(73)90332-9 Occurrence Handle1:STN:280:DyaE3s7mtVSkug%3D%3D
T Matsukawa S Yoshii R Hashimoto et al. (1988) ArticleTitleQuadricuspid aortic valve perforation resulting from bacterial endocarditis: 2D echo- and angio-graphic diagnosis and its surgical treatment Jpn Circ J 52 437–40 Occurrence Handle3045360 Occurrence Handle1:STN:280:DyaL1czhslaiug%3D%3D
S Yuda S Nakatani C Yutani et al. (2002) ArticleTitleTrends in the clinical and morphological characteristics of cardiac myxoma: 20-year experience of a single large tertiary referral center in Japan Circ J 66 1008–13 Occurrence Handle12419931 Occurrence Handle10.1253/circj.66.1008
TZ Naqvi RJ Siegel (1999) ArticleTitleAortic stenosis: the role of transesophageal echocardiography Echocardiography 16 677–88 Occurrence Handle11175210 Occurrence Handle10.1111/j.1540-8175.1999.tb00125.x
AV Brasch H Luo SS Khan et al. (2001) ArticleTitleEffects of harmonic imaging for planimetry on transthoracic echocardiography on visualization of the aortic valve Am J Cardiol 88 1047–9 Occurrence Handle11704010 Occurrence Handle10.1016/S0002-9149(01)01991-9 Occurrence Handle1:STN:280:DC%2BD3MnltVyjuw%3D%3D
A Iglesias J Oliver JE Munoz et al. (1981) ArticleTitleQuadricuspid aortic valve associated with fibromuscular subaortic stenosis and aortic regurgitation treated by conservative surgery Chest 80 327–8 Occurrence Handle7196827 Occurrence Handle10.1378/chest.80.3.327 Occurrence Handle1:STN:280:DyaL38%2FgtlGnsw%3D%3D
Y Fukushima H Tamura H Iida et al. (1988) ArticleTitleA case report of the quadricuspid aortic valve Kyobu Geka 41 336–9 Occurrence Handle3404797 Occurrence Handle1:STN:280:DyaL1czgtFaktQ%3D%3D
KB James LK Centorbi R Novoa (1991) ArticleTitleQuadricuspid aortic valve. Case report and review of the literature Tex Heart Inst J 18 141–3 Occurrence Handle15227499 Occurrence Handle1:STN:280:DC%2BD2czisFOgtg%3D%3D
H Suda K Rikitake K Furukawa et al. (1993) ArticleTitleQuadricuspid aortic valve: a case report and a review of the literature Kyobu Geka 46 283–6 Occurrence Handle8468849 Occurrence Handle1:STN:280:DyaK3s3isFaqsg%3D%3D
Y Sakamoto F Saitoh K Ohnishi et al. (1994) ArticleTitleA case of quadricuspid aortic valve associated with mitral insufficiency Nippon Kyobu Geka Gakkai Zasshi 42 1235–7 Occurrence Handle7963841 Occurrence Handle1:STN:280:DyaK2M%2FltlShsg%3D%3D
N Sasahashi F Ando F Okamoto et al. (1997) ArticleTitleA case of quadricuspid aortic valve associated with aortic steno-insufficiency Nippon Kyobu Geka Gakkai Zasshi 45 1055–60 Occurrence Handle9256650 Occurrence Handle1:STN:280:DyaK2svgtVOqsw%3D%3D
Y Nakamura I Taniguchi M Saiki et al. (2001) ArticleTitleQuadricuspid aortic valve associated with aortic stenosis and regurgitation Jpn J Thorac Cardiovasc Surg 49 714–6 Occurrence Handle11808094 Occurrence Handle1:STN:280:DC%2BD38%2FotFCktw%3D%3D Occurrence Handle10.1007/BF02913511
MS Kucukoglu I Erdogan B Okcun et al. (2002) ArticleTitleQuadricuspid aortic valve abnormality associated with aortic stenosis and aortic insufficiency J Am Soc Echocardiogr 15 90–2 Occurrence Handle11781561 Occurrence Handle10.1067/mje.2002.116976
G Mecozzi S Pratali A Milano et al. (2003) ArticleTitleSevere quadricuspid aortic valve stenosis after mediastinal irradiation J Thorac Cardiovasc Surg 126 1198–9 Occurrence Handle14566274 Occurrence Handle10.1016/S0022-5223(03)00368-4
G Yotsumoto Y Iguro T Kinjo et al. (2003) ArticleTitleCongenital quadricuspid aortic valve: report of nine surgical cases Ann Thorac Cardiovasc Surg 9 134–7 Occurrence Handle12732093
S Beppu S Suzuki H Matsuda et al. (1993) ArticleTitleRapidity of progression of aortic stenosis in patients with congenital bicuspid aortic valves Am J Cardiol 71 322–7 Occurrence Handle8427176 Occurrence Handle10.1016/0002-9149(93)90799-I Occurrence Handle1:STN:280:DyaK3s7ltFWmtQ%3D%3D
K Chandrasekaran AJ Tajik WD Edwards et al. (1984) ArticleTitleTwo-dimensional echocardiographic diagnosis of quadricuspid aortic valve Am J Cardiol 53 1732–3 Occurrence Handle6731321 Occurrence Handle10.1016/0002-9149(84)90617-9 Occurrence Handle1:STN:280:DyaL2c3ivValtA%3D%3D
T Yamazaki T Ishimitsu Y Hiranuma et al. (1996) ArticleTitleA case of aortic regurgitation resulting from quadricuspid aortic valve and aortic valve fenestration caused by infective endocarditis: observation with transthoracic and transesophageal echocardiography Jpn J Med Ultrason 23 447–53
Y Kaminishi Y Terada K Nakamura et al. (1997) ArticleTitleAortic valve regurgitation due to quadricuspid aortic valve: A report of a complicated case Kyobu Geka 50 63–6 Occurrence Handle8990812 Occurrence Handle1:STN:280:DyaK2s7ksFWnsA%3D%3D
MT Dotti N De Stefano S Mondillo et al. (1999) ArticleTitleNeurological involvement and quadricuspid aortic valve in a patient with Ehlers-Danlos syndrome J Neurol 246 612–3 Occurrence Handle10463367 Occurrence Handle10.1007/s004150050414 Occurrence Handle1:STN:280:DyaK1MzptFSjug%3D%3D
N Takeda E Ohtaki H Kasegawa et al. (2003) ArticleTitleInfective endocarditis associated with quadricuspid aortic valve Jpn Heart J 44 441–5 Occurrence Handle12825812 Occurrence Handle10.1536/jhj.44.441
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YAMAGISHI, Y., YUDA, S., TSUCHIHASHI, K. et al. Quadricuspid aortic valve associated with aortic stenosis and regurgitation: report of a case and a review of the literature. J Med Ultrasonics 34, 197–200 (2007). https://doi.org/10.1007/s10396-007-0148-9
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DOI: https://doi.org/10.1007/s10396-007-0148-9