[Congenital quadricuspid aortic valves].
BACKGROUND
Quadricuspid aortic valve is an uncommon congenital anomaly. We report a case in a patient hospitalized for heart failure.


METHODS
A 62-year old patient with exercise-induced dyspnea was hospitalized for heart failure. Heart auscultation revealed a diastolic aortic murmur attributed to a quadricuspid aortic valve evidenced at echocardiography.


CONCLUSIONS
Quadricuspid aortic valves usually have three cusps of equivalent size and a small fourth cusp between the right coronary cusp and the non-coronary cusp. Aortic regurgitation is usually observed requiring valve replacement in 50% of the cases. The anomaly may be associated with other congenital anomalies of the coronary arteries warranting systematic coronarography prior to valve replacement.
Bernard
F
F
Service de Cardiologie, Hôpital Lariboisière, Paris.
Perdrix
C
C
Karrillon
G
G
Lozinguez
A
A
Beaufils
P
P
D001021:Aortic Valve / Q000002:abnormalities* / Q000196:embryology; D001022:Aortic Valve Insufficiency / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D001027:Aortography; D015150:Echocardiography, Doppler; D017548:Echocardiography, Transesophageal; D006801:Humans; D008297:Male; D008875:Middle Aged
La quadricuspidie aortique congénitale.