Quadricuspid aortic valve repair with a modified‐tricuspidization technique. Issue 10 (22nd September 2022)

• Record Type: Journal Article
• Authors: D'Errico Ramirez, Antonio; Squiccimarro, Enrico; De Palo, Micaela; Acquaviva, Tommaso; Milano, Aldo Domenico
• Is Part Of: Echocardiography. Volume 39:Issue 10(2022)
• Page Start: 1363
• Page End: 1366
• Publication Date: 2022-09-22
• Subjects: aortic valve regurgitation -- aortic valve repair -- quadricuspid aortic valve; Echocardiography -- Periodicals; Echocardiography -- Periodicals; 616.1207543
• DOI: 10.1111/echo.15448
• Languages: English
• ISSNs: 0742-2822

Abstract

Abstract: Introduction: Quadricuspid aortic valve (QAV) is an extremely rare developmental abnormality with an incidence of 0.006%. QAV is an incidental finding that in some patients (23%) may determine aortic regurgitation (AR). Altogether 16% of patients indeed require surgery with AR being the most frequent indication. Methods and results: We describe a case report of a 46 year‐old female affected by severe aortic regurgitation due to QAV successfully treated with a modified‐tricuspidization technique associated with cusp extension, prolapsing commissure suturing, and sub‐commissural annuloplasty. Discussion: QAV repair represents an attractive perspective to overcome the drawbacks of either mechanical or biological prosthesis.