Quadricuspid aortic valve associated with aortic stenosis and regurgitation.

被引:47
作者
Nakamura Y. [1 ]
Taniguchi I. [1 ]
Saiki M. [1 ]
Morimoto K. [1 ]
Yamaga T. [1 ]
机构
[1] Department of Thoracic and Cardiovascular Surgery, Tottori Prefectural Central Hospital, Tottori
来源
The Japanese Journal of Thoracic and Cardiovascular Surgery | 2001年 / 49卷 / 12期
关键词
quadricuspid aortic valve; aortic stenosis and regurgitation; aortic valve replacement;
D O I
10.1007/BF02913511
中图分类号
学科分类号
摘要
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.
引用
收藏
页码:714 / 716
页数:2
相关论文
共 37 条
[1]  
Balington F.(1969)Congenital quadricuspid aortic valve with displacement of the left coronary orifice Am J Cardiol 23 288-90
[2]  
Robicsek PW(1923)Congenital malformation of the aortic and pulmonary valves Am J Med Sci 166 584-95
[3]  
Sanger HK(1984)Surgical pathology of pure aortic insufficiency: a study of 225 cases Mayo Clin Proc 59 853-61
[4]  
Daugherty CC(2000)Two cases of quadricuspid aortic valve: Pre-operative diagnosis and surgical treatment Ann Thorac Cardiovasc Surg 6 186-9
[5]  
Montgomery JP(1969)Four-cusped aortic valve with significant hemodynamic abnormality Am J Cardiol 23 291-3
[6]  
Simonds LJ(1973)Quadricuspid semilunar valve Am J Cardiol 31 623-6
[7]  
Olson R(1981)Quadricuspid aortic valve associated with fibromuscular subaortic stenosis and regurgitation treated by conservative surgery Chest 80 327-8
[8]  
Subramanian WD(1984)Two-dimensional echocardiographic diagnosis of quadricuspid aortic valve Am J Cardiol 53 1732-3
[9]  
Edwards S(1969)Congenital quadricuspid aortic valve with displacement of the left coronary orifice Am J Cardiol 23 288-90
[10]  
Choh M(1992)Congenital quadricuspid aortic valve associated with aortic regurgitation Thorac Cardiovasc Surg 40 225-6