title: Quadricuspid aortic valve plasty: is it worth it to repair as an alternative to substitution?
abstract: We present the case of a 49-year-old man with an abnormal aortic valve formed by four cusps (three equal large cusps and one smaller cusp; type 1 according to Hurwits and Roberts classification) with a marked lack of coaptation that caused a severe aortic valve insufficiency. The patient underwent a repair of the defect with a tricuspidalization of the aortic valve, restoring the normal coaptation of the cusps and the normal function of the aortic valve. Postoperative course was unremarkable. The early follow-up showed a mild aortic valve insufficiency.
authors.affiliation: Department of Cardiovascular Disease, Cardiac Surgery Unit, IRCCS Centro Cardiologico Fondazione Monzino, Milano, Italy. andreadaprati@hotmail.it
authors.forename: Andrea
authors.initials: A
authors.lastname: Daprati
authors.forename: Tommaso
authors.initials: T
authors.lastname: Generali
authors.forename: Francesco
authors.initials: F
authors.lastname: Arlati
authors.forename: Maurizio
authors.initials: M
authors.lastname: Roberto
mesh_terms: D001021:Aortic Valve / Q000002:abnormalities* / Q000601:surgery / Q000648:ultrastructure; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery*; D004452:Echocardiography; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged