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Quadricuspid aortic valve associated with aortic stenosis and regurgitation

Authors
  • Nakamura, Yoshinobu1
  • Taniguchi, Iwao1
  • Saiki, munehiro1
  • Morimoto, Keisuke1
  • Yamaga, Takeshi1
  • 1 Tottori Prefectural Central Hospital, Department of Thoracic and Cardiovascular Surgery, 36-1 Yonago, Tottori, 683-8503, Japan , Tottori
Type
Published Article
Journal
The Japanese Journal of Thoracic and Cardiovascular Surgery
Publisher
Springer-Verlag
Volume
49
Issue
12
Identifiers
DOI: 10.1007/BF02913511
Source
Springer Nature
Keywords
License
Yellow

Abstract

A 75-year-old man with moderate aortic stenosis and regurgitation admitted due to heart failure underwent uneventful aortic valve replacement with a Carpentier-Edwards pericardial bioprosthesis valve. A quadricuspid aortic valve discovered incidentally during surgery consisted of 4 of different sizes and a supernumerary cusp between the right and noncoronary cusps. No coronary abnormality was involved. Resected cusps showed fibrotic thickening with calcification and no sign of previous inflammatory disease. Although quadricuspid aortic valve is a very rare anomaly, its potential for severe valve failure in adulthood should not be neglected.

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