Quadricuspid Aortic Valve: A Report on a 10-Year Case Series and Literature Review
Quadricuspid aortic valve is rare, with an estimated incidence of 0.008% to 1.46%. Most cases are encountered incidentally during aortic valve surgery or autopsy. The condition frequently progresses to aortic regurgitation, which can manifest in adulthood and may require surgical treatment. This ano...
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| Veröffentlicht in: | Annals of Thoracic and Cardiovascular Surgery 2014, Vol.20(Supplement), pp.941-944 |
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| creator | Hayakawa, Masato Asai, Tohru Kinoshita, Takeshi Suzuki, Tomoaki |
| description | Quadricuspid aortic valve is rare, with an estimated incidence of 0.008% to 1.46%. Most cases are encountered incidentally during aortic valve surgery or autopsy. The condition frequently progresses to aortic regurgitation, which can manifest in adulthood and may require surgical treatment. This anomaly may sometimes be associated with other malformations, the most common being coronary artery anomalies. We performed a retrospective chart review of patients diagnosed with quadricuspid aortic valve between January 2002 and July 2012 and report here on cases treated surgically. We encountered three cases of quadricuspid aortic valve among 627 patients undergoing aortic valve surgery at our institution (an incidence of 0.48%). All three had aortic regurgitation and two were free of cardiac anomaly; the other had ascending aortic aneurysm and coronary malformation. According to Hurwitz’s classification, two of the valves were of type b and one of type d. Under Nakamura’s classification, meanwhile, two of the valves were type II and the other type III. All patients underwent successful aortic valve replacement and had uneventful postoperative courses. |
| doi_str_mv | 10.5761/atcs.cr.13-00125 |
| format | Article |
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Most cases are encountered incidentally during aortic valve surgery or autopsy. The condition frequently progresses to aortic regurgitation, which can manifest in adulthood and may require surgical treatment. This anomaly may sometimes be associated with other malformations, the most common being coronary artery anomalies. We performed a retrospective chart review of patients diagnosed with quadricuspid aortic valve between January 2002 and July 2012 and report here on cases treated surgically. We encountered three cases of quadricuspid aortic valve among 627 patients undergoing aortic valve surgery at our institution (an incidence of 0.48%). All three had aortic regurgitation and two were free of cardiac anomaly; the other had ascending aortic aneurysm and coronary malformation. According to Hurwitz’s classification, two of the valves were of type b and one of type d. Under Nakamura’s classification, meanwhile, two of the valves were type II and the other type III. All patients underwent successful aortic valve replacement and had uneventful postoperative courses.</description><identifier>ISSN: 1341-1098</identifier><identifier>EISSN: 2186-1005</identifier><identifier>DOI: 10.5761/atcs.cr.13-00125</identifier><identifier>PMID: 24633134</identifier><language>eng</language><publisher>Japan: The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery</publisher><subject>Aged ; aortic regurgitation ; Aortic Valve - abnormalities ; Aortic Valve - diagnostic imaging ; Aortic Valve - physiopathology ; Aortic Valve - surgery ; Aortic Valve Insufficiency - etiology ; aortic valve replacement ; Echocardiography, Transesophageal ; Female ; Heart Defects, Congenital - complications ; Heart Defects, Congenital - diagnosis ; Heart Defects, Congenital - physiopathology ; Heart Defects, Congenital - surgery ; Heart Valve Prosthesis ; Heart Valve Prosthesis Implantation - instrumentation ; Humans ; Male ; Middle Aged ; Prosthesis Design ; quadricuspid aortic valve ; Retrospective Studies ; Treatment Outcome</subject><ispartof>Annals of Thoracic and Cardiovascular Surgery, 2014, Vol.20(Supplement), pp.941-944</ispartof><rights>2014 The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c536t-c49e6860279ee5354ce3f7c4057625c523ffe5db5efd3db2f78bac27d66e0b673</citedby><cites>FETCH-LOGICAL-c536t-c49e6860279ee5354ce3f7c4057625c523ffe5db5efd3db2f78bac27d66e0b673</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,860,1877,4010,27900,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24633134$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hayakawa, Masato</creatorcontrib><creatorcontrib>Asai, Tohru</creatorcontrib><creatorcontrib>Kinoshita, Takeshi</creatorcontrib><creatorcontrib>Suzuki, Tomoaki</creatorcontrib><title>Quadricuspid Aortic Valve: A Report on a 10-Year Case Series and Literature Review</title><title>Annals of Thoracic and Cardiovascular Surgery</title><addtitle>ATCS</addtitle><description>Quadricuspid aortic valve is rare, with an estimated incidence of 0.008% to 1.46%. Most cases are encountered incidentally during aortic valve surgery or autopsy. The condition frequently progresses to aortic regurgitation, which can manifest in adulthood and may require surgical treatment. This anomaly may sometimes be associated with other malformations, the most common being coronary artery anomalies. We performed a retrospective chart review of patients diagnosed with quadricuspid aortic valve between January 2002 and July 2012 and report here on cases treated surgically. We encountered three cases of quadricuspid aortic valve among 627 patients undergoing aortic valve surgery at our institution (an incidence of 0.48%). All three had aortic regurgitation and two were free of cardiac anomaly; the other had ascending aortic aneurysm and coronary malformation. According to Hurwitz’s classification, two of the valves were of type b and one of type d. Under Nakamura’s classification, meanwhile, two of the valves were type II and the other type III. 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Most cases are encountered incidentally during aortic valve surgery or autopsy. The condition frequently progresses to aortic regurgitation, which can manifest in adulthood and may require surgical treatment. This anomaly may sometimes be associated with other malformations, the most common being coronary artery anomalies. We performed a retrospective chart review of patients diagnosed with quadricuspid aortic valve between January 2002 and July 2012 and report here on cases treated surgically. We encountered three cases of quadricuspid aortic valve among 627 patients undergoing aortic valve surgery at our institution (an incidence of 0.48%). All three had aortic regurgitation and two were free of cardiac anomaly; the other had ascending aortic aneurysm and coronary malformation. According to Hurwitz’s classification, two of the valves were of type b and one of type d. Under Nakamura’s classification, meanwhile, two of the valves were type II and the other type III. 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| ispartof | Annals of Thoracic and Cardiovascular Surgery, 2014, Vol.20(Supplement), pp.941-944 |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; J-STAGE (Japan Science & Technology Information Aggregator, Electronic) Freely Available Titles - Japanese; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Aged aortic regurgitation Aortic Valve - abnormalities Aortic Valve - diagnostic imaging Aortic Valve - physiopathology Aortic Valve - surgery Aortic Valve Insufficiency - etiology aortic valve replacement Echocardiography, Transesophageal Female Heart Defects, Congenital - complications Heart Defects, Congenital - diagnosis Heart Defects, Congenital - physiopathology Heart Defects, Congenital - surgery Heart Valve Prosthesis Heart Valve Prosthesis Implantation - instrumentation Humans Male Middle Aged Prosthesis Design quadricuspid aortic valve Retrospective Studies Treatment Outcome |
| title | Quadricuspid Aortic Valve: A Report on a 10-Year Case Series and Literature Review |
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