title: Quadricuspid aortic valve with mild aortic regurgitation and persistent foramen ovale: a multimodality imaging of rare concomitant findings.
abstract: Quadricuspid aortic valve is a rare congenital heart disease that is mostly detected incidentally during echocardiography or angiography, or at autopsy. This pathology is frequently associated with other congenital anomalies of the heart such as abnormalities of coronary ostia, coronary stenosis, aortic root dilation and coarctation of the aorta, as well as significant aortic valve dysfunction. Herein is presented the first documented case of an asymptomatic middle-aged male patient with incidentally diagnosed quadricuspid aortic valve and a preserved valve function associated with a patent foramen ovale and reverse right-left leak identified during the Valsalva maneuver. No other associated cardiac abnormalities were identified.
authors.affiliation: Department of Noninvasive Cardiology and Hypertension, The Central Clinical Hospital of the Ministry of the Interior, Warsaw, Poland. dkosior@acn.waw.pl
authors.forename: Dariusz A
authors.initials: DA
authors.lastname: Kosior
authors.affiliation: Department of Cardiology, The Medical University of Warsaw, Warsaw, Poland.
authors.forename: Radosław
authors.initials: R
authors.lastname: Piatkowski
authors.affiliation: Department of Clinical Radiology, The Medical University of Warsaw, Warsaw, Poland.
authors.forename: Leopold
authors.initials: L
authors.lastname: Bakoń
mesh_terms: D000015:Abnormalities, Multiple; D000328:Adult; D001021:Aortic Valve / Q000002:abnormalities* / Q000000981:diagnostic imaging; D001022:Aortic Valve Insufficiency / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology; D058070:Asymptomatic Diseases; D000082882:Bicuspid Aortic Valve Disease; D019560:Echocardiography, Three-Dimensional; D017548:Echocardiography, Transesophageal; D054092:Foramen Ovale, Patent / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006330:Heart Defects, Congenital / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006349:Heart Valve Diseases / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006801:Humans; D033162:Incidental Findings; D008279:Magnetic Resonance Imaging; D008297:Male; D061330:Multidetector Computed Tomography; D064847:Multimodal Imaging / Q000379:methods; D011237:Predictive Value of Tests; D014636:Valsalva Maneuver