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Two Reports of Quadricuspid Aortic Valve With Aortic Insufficiency

Name: Two Reports of Quadricuspid Aortic Valve With Aortic Insufficiency
Keywords: Bioprosthesis, Heart Defects, Congenital, Heart Valve Prosthesis Implantation, Aortic Valve Insufficiency, Hemodynamics, Recovery of Function, Middle Aged, Coronary Angiography, Severity of Illness Index, Echocardiography, Doppler, Color

descriptionPublicationkeyboard_double_arrow_right Article 30 Jun 2017Publisher:IMR PressJournal:Reviews in Cardiovascular Medicine, volume 18, pages 88-91 (issn: 1530-6550,

Authors: Peter Kelly; Abdalla Ibrahim; Zahir Satti;

doi: 10.3909/ricm0874

pmid: 29038418

Two Reports of Quadricuspid Aortic Valve With Aortic Insufficiency

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Abstract

We report two cases of a quadricuspid aortic valve with severe aortic incompetence. Both patients presented with dyspnea on exertion. Their physical examinations demonstrated wide pulse pressures with diastolic murmurs. Bedside transthoracic Doppler echocardiography revealed preserved left ventricular systolic function and possible quadricuspid aortic valve with severe aortic incompetence in both patients. We proceeded with transesophageal echocardiography that confirmed a quadricuspid aortic valve with severe aortic incompetence in both patients. Left ventricular systolic function was preserved in both cases. Both patients had a preoperative cardiac catheterization, which showed normal coronary arteries. They were referred to cardiothoracic surgery and underwent successful aortic valve replacement with bioprosthetic valves.

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Keywords

Bioprosthesis, Heart Defects, Congenital, Heart Valve Prosthesis Implantation, Aortic Valve Insufficiency, Hemodynamics, Recovery of Function, Middle Aged, Coronary Angiography, Severity of Illness Index, Echocardiography, Doppler, Color, Treatment Outcome, Aortic Valve, Heart Valve Prosthesis, Humans, Female, Echocardiography, Transesophageal

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