Congenital quadricuspid aortic valve associated with severe regurgitation.
A 56-year-old man was referred because of severe aortic regurgitation. He had a quadricuspid aortic valve with a small accessory cusp between the right coronary and noncoronary cusps. The ostium of the right coronary artery was deviated toward the accessory cusp commissure. Aortic valve replacement was performed with a bioprosthesis. The resected cusps showed fibrotic thickening with calcification and fenestration.
Kawanishi
Yujiro
Y
Division of Cardiovascular, Thoracic, and Pediatric Surgery, Kobe University Graduate School of Medicine, Kobe City, Japan. yujirokawanishi@hotmail.com
Tanaka
Hiroshi
H
Nakagiri
Keitaro
K
Yamashita
Teruo
T
Okada
Kenji
K
Okita
Yutaka
Y
D001021:Aortic Valve / Q000002:abnormalities* / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D001705:Bioprosthesis; D017548:Echocardiography, Transesophageal; D006330:Heart Defects, Congenital / Q000150:complications* / Q000473:pathology / Q000601:surgery; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation; D006801:Humans; D008297:Male; D008875:Middle Aged; D012720:Severity of Illness Index; D016896:Treatment Outcome