IJCM  Vol.7 No.3 , March 2016
Common Complication in an Uncommon Disease: Presence of Aortic Regurgitation in Patient with Quadricuspid Aortic Valve
Abstract: Background: Congenital heart defect exists from birth but is usually detected in a later stage of life, as in case of quadricuspid aortic valve. A great majority of quadricuspid aortic valves do not have a normal function and often necessitate surgical treatment. Aim: To report a case with quadricuspid aortic valve accompanied with complications. Case Presentation: We present a case of a male detected with quadricuspid aortic valve of four equal sized cusps accompanied by abnormalities, yet managed successfully under conservative treatment. Conclusion: Patients with a quadricuspid aortic valve require careful clinical evaluation and close follow up.
Cite this paper: Naidu Otikunta, A. , Reddy, Y. , Polamuri, P. and Srinivas, R. (2016) Common Complication in an Uncommon Disease: Presence of Aortic Regurgitation in Patient with Quadricuspid Aortic Valve. International Journal of Clinical Medicine, 7, 231-235. doi: 10.4236/ijcm.2016.73024.

[1]   Saxena, A. (2005) Congenital Heart Disease in India: A Status Report. Indian Journal of Pediatrics, 72, 595-598.

[2]   Verma, S. and Siu, S.C. (2014) Aortic Dilatation in Patients with Bicuspid Aortic Valve. The New England Journal of Medicine, 370, 1920-1929.

[3]   Falcone, M.W., Roberts, W.C., Morrow, A.G. and Perloff, J.K. (1971) Congenital Aortic Stenosis Resulting from a Unicommissural Valve Clinical and Anatomic Features in Twenty-One Adult Patients. Circulation, 44, 272-280.

[4]   Tai, J.M., Laghari, A.H. and Gill, C.T. (2013) Quadricuspid Aortic Valve with Aortic Regurgitation: A Rare Echocardiographic Finding. BMJ Case Reports, 2013, bcr2012006639.

[5]   Bakirci, E.M., Arslan, S., Degirmenci, H. and Sevimli, S. (2012) A Quadricuspid Aortic Valve Causing Moderate Aortic Regurgitation. Clinical Cardiology, 19, 632-634.

[6]   Hurwitz, L.E. and Roberts, W.C. (1973) Quadricuspid Semilunar Valve. The American Journal of Cardiology, 31, 623-626.

[7]   Jagannath, A.D., Johri, A.M., Liberthson, R., Larobina, M., Passeri, J., Tighe, D., et al. (2011) Quadricuspid Aortic Valve: A Report of 12 Cases and a Review of the Literature. Echocardiography, 28, 1035-1040.

[8]   Gouveia, S., Martins, J.D.F., Costa, G., Paramés, F., Freitas, I., Rebelo, M., et al. (2011) Quadricuspid Aortic Valve— 10-Year Case Series and Literature Review. Revista Portuguesa de Cardiologia (English Edition), 30, 849-854.

[9]   D’Aloia, A., Vizzardi, E., Bugatti, S., Chiari, E., Repossini, A., Muneretto, C., et al. (2009) A Quadricuspid Aortic valve Associated with Severe Aortic Regurgitation and Left Ventricular Systolic Dysfunction. European Journal of Echocardiography, 10, 724-725.

[10]   Nishimura, R.A., Otto, C.M., Bonow, R.O., Carabello, B.A., Erwin, J.P., Guyton, R.A., et al. (2014) 2014 AHA/ACC Guideline for the Management of Patients with Valvular Heart Disease: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Journal of the American College of Cardiology, 63, 2438-2488.

[11]   Timperley, J., Milner, R., Marshall, A.J. and Gilbert, T.J. (2002) Quadricuspid Aortic Valves. Clinical Cardiology, 25, 548-552.

[12]   Malviya, A., Jha, P.K., Mishra, J., Srivastava, P. and, Mishra, A. (2015) Quadricuspid Aortic Valve—A Case Report and Literature Review. The Egyptian Heart Journal.

[13]   Gulyasy, B., López-Candales, A., Reis, S.E. and Levitsky, S. (2009) Quadricuspid Aortic Valve: An Unusual Echocardiographic Finding and a Review of the Literature. International Journal of Cardiology, 132, e68-e71.

[14]   Yotsumoto, G., Iguro, Y., Kinjo, T., Matsumoto, H., Masuda, H. and Sakata, R. (2003) Congenital Quadricuspid Aortic Valve: Report of Nine Surgical Cases. Annals of Thoraacic and Cardiovascular Surgery, 9, 134-137.

[15]   Zoghbi, W.A., Enriquez-Sarano, M., Foster, E., Grayburn, P.A., Kraft, C.D., Levine, R.A., et al. (2003) Recommendations for Evaluation of the Severity of Native Valvular Regurgitation with Two-Dimensional and Doppler Echocardiography. Journal of the American Society of Echocardiography, 16, 777-802.

[16]   Ginghinã, C., Aschie, D., Calin, A., Popescu, B., Calin, C. and Stoian, F., et al. (2012) Aortic Regurgitation Due to Quadricuspid Aortic Valve-Case Report and Literature Review. Chirurgia, 107, 260-264.

[17]   Acar, E., Sahin, T., Yilmaz, I. and Celikyurt, U. (2011) Quadricuspid Aortic Valve Visualized by Three-Dimensional Transthoracic Echocardiography. Case Reports in Cardiology, 2011.