Quadricuspid aortic valve repair with a modified‐tricuspidization technique

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 frequen...

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Detalles Bibliográficos
Autores principales: D'Errico Ramirez, Antonio, Squiccimarro, Enrico, De Palo, Micaela, Acquaviva, Tommaso, Milano, Aldo Domenico
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9825836/
https://www.ncbi.nlm.nih.gov/pubmed/36138549
http://dx.doi.org/10.1111/echo.15448
Descripción
Sumario: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.

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