Quadricuspid Aortic Valve with Moderate Regurgitation
June 11, 2022
Pages 1 – 5
Quantification of aortic valve regurgitation in an asymptomatic patient with a quadricuspid aortic valve
44-year-old female patient ( BSA 1.7 m2), with intermittent atypical chest pain since 1 year. Known untreated hypertension (160/66mmHg). Smoker. Normal ECG. Recent outpatient diagnosis of quadricuspid aortic valve with severe regurgitation at a transesophageal examination (see Page 3). Started diuretic therapy. Admitted for aortic valve replacement.
The transthoracic examination shows normal size of the aortic root, ascending aorta, and arch; a quadricuspid aortic valve with minimal fibrotic thickening (Figure 2); mild left atrial dilatation (39 ml/m2); minimal fibrotic thickening of the mitral valve without functional abnormalities; normal LV biplane end-diastolic volume (73 ml/m2), end-systolic diameter (35 mm), wall thickness, segmental wall motion and biplane ejection fraction (63 %) (Figures 1 and 3 ); normal right ventricular dimensions and systolic function. The mitral annulus dimensions were normal (3.3 cm x 2.7 cm).