Quadricuspid Aortic Valve: Report of Two Cases.
- Author:
Chang Ho YANG
1
;
Moo Hyun KIM
;
Byung Hee KIM
;
Hae Jong CHOI
;
Dong Ju KEUM
;
Sang Gon KIM
;
Kwang Soo CHA
;
Young Dae KIM
;
Jong Seong KIM
;
Jong Soo WOO
Author Information
1. Cardiology Division of Internal Medicine, College of Medicine, Dong-A University, Pusan, Korea.
- Publication Type:Case Report
- Keywords:
Quadricuspid aortic valve;
Aortic regurgitation;
Echocardiography
- MeSH:
Adult;
Aortic Valve Insufficiency;
Aortic Valve*;
Dyspnea;
Echocardiography;
Fatigue;
Female;
Humans;
Middle Aged;
Thorax
- From:Journal of the Korean Society of Echocardiography
1999;7(2):202-207
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Quadricuspid aortic valve is an uncommon congenital anomaly and cause of aortic regurgitation. We report two cases of quadricuspid aortic valve with aortic regurgitation. Case 1, a 51-year-old woman was admitted to our hospital for fatigue and chest tightness. She had to and fro murmur along the left sternal border. Transthoracic echocardiography and transeso- phageal echocardiography showed grade 2-3 aortic regurgitation with quadricuspid aortic valve. The aortic valve consisted of four cusps of equivalent size(Hurwitz type a). Case 2, a 35-year-old man was admitted to our hospital for exertional dyspnea and chest tightness. He had grade 4/6 to and fro murmur along the left sternal border. Transthoracic echocardiography showed grade 4 aortic regurgitation with suggested quadricuspid aortic valve. The aortic valve consisted of two equal larger cusps and two equal smaller cusps and a supernumerary cusp located between the right and noncoronary cusps(Hurwitz type c). He was performed aortic valve replacement with a 21 mm On-X valve.