Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-26T15:13:59.988Z Has data issue: false hasContentIssue false

Quadricuspid aortic valve and a large patent ductus arteriosus treated with device closure

Published online by Cambridge University Press:  28 October 2021

Mehboob Sultan*
Affiliation:
Paediatric Cardiology Department, Army Cardiac Center, Lahore, Pakistan
Khush Bakht Awan
Affiliation:
Cardiology Department, Army Cardiac Center, Lahore, Pakistan
Asad Khan
Affiliation:
Cardiology Department, Army Cardiac Center, Lahore, Pakistan
*
Author for correspondence: Dr M. Sultan, Consultant Paediatric Cardiologist, Army Cardiac Center, Lahore, Pakistan. Tel: 00923215129563; E-mail: [email protected]

Abstract

Quadricuspid aortic valve is a remarkably rare congenital cardiac anomaly that predominantly becomes regurgitant with the passage of time. Aortic valve stenosis and aortic root dilatation are less common in quadricuspid aortic valve as compared to bicuspid aortic valve. The clinical presentation depends upon the functional status of the aortic valve, left ventricular function, and associated cardiac or coronary anomalies. The quadricuspid aortic valve is easily visualised during transthoracic echocardiogram with a characteristic X pattern of aortic valve in diastole. The association of quadricuspid aortic valve with patent ductus arteriosus is exceedingly rare. We are reporting a case of young girl with mildly regurgitant quadricuspid aortic valve, large patent ductus arteriosus, and volume-loaded left heart who underwent a successful device closure of her patent ductus arteriosus. To the best of our knowledge, such a case is being reported from Pakistan for the first time.

Type
Brief Report
Copyright
© The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Oladiran, O, Nwosu, I, Dhital, R, Ezioma, G. Quadricuspid aortic valve: report of two cases and brief review. Case Rep Cardiol 2019; 2019: 7835287.Google ScholarPubMed
Sharif, D, Azzam, E, Sharif-Rasslan, A. Long-term performance of bicuspid and quadricuspid aortic valves: similarities and differences. Echocardiography 2019; 36: 17011705.CrossRefGoogle ScholarPubMed
Kaur, M, Kyaw, H, Ayala-Rodriguez, C, Reddy, S. Quadricuspid aortic valve: a rare and incidental finding. Cureus 2019; 11: e6054.Google ScholarPubMed
L'Angiocola, PD, Vetrano, DL, Lardieri, G. From bicuspid to quadricuspid aortic valve: the clinical case of a 38-year-old woman with chest pain. J Cardiovasc Echogr 2019; 29: 119122.CrossRefGoogle ScholarPubMed
Lin, Y, Yin, K, Wang, Y, et al. Clinical characteristics and surgical outcomes of dysfunctional quadricuspid aortic valve. J Surg Res 2018; 229: 223229.CrossRefGoogle ScholarPubMed
Savino, K, Quintavalle, E, Ambrosio, G. Quadricuspid aortic valve: a case report and review of the literature. J Cardiovasc Echogr 2015; 25: 7276.CrossRefGoogle ScholarPubMed
Seol, SH, Kim, U, Cho, HJ, Kim, DK, Kim, DI, Kim, DS. Quadricuspid aortic valve with patent ductus arteriosus. Tex Heart Inst J 2010; 37: 726727.Google ScholarPubMed
Veronese, ET, Brandão, CMA, Steffen, SP, Pomerantzeff, P, Jatene, FB. Quadricuspid aortic valve: three cases report and literature review. Braz J Cardiovasc Surg 2019; 34: 637639.CrossRefGoogle ScholarPubMed
Hayakawa, M, Asai, T, Kinoshita, T, Suzuki, T. Quadricuspid aortic valve: a report on a 10-year case series and literature review. Ann Thorac Cardiovasc Surg 2014; 20: 941944.CrossRefGoogle ScholarPubMed
Yuan, SM. Quadricuspid aortic valve: a comprehensive review. Braz J Cardiovasc Surg 2016; 31: 454460.Google ScholarPubMed
Garg, A, Garg, S, Agrawal, D, Sharma, GL. Quadricuspid aortic valve with ostium secundum atrial septal defect. CASE 2019; 3: 138140.CrossRefGoogle ScholarPubMed
Suraci, N, Horvath, SA, Urina, D, Rosen, G, Santana, O. Quadricuspid aortic valve: case series and review of literature. Echocardiography 2019; 36: 406410.CrossRefGoogle ScholarPubMed
Brock, M, Tugertimur, A, Schwartz, MC. A rare pediatric cardiac anomaly: quadricuspid aortic valve with aortic regurgitation. Ann Pediatr Cardiol 2013; 6: 202203.CrossRefGoogle ScholarPubMed
Das, A, Singh, U, Rajashekar, P. Quadricuspid aortic valve: a rare intraoperative diagnosis by transesophageal echocardiography. Ann Card Anaesth 2018; 21: 9596.Google ScholarPubMed
Pasanisi, G, Mazzanti, G, Sassone, B. A quadricuspid aortic valve in an asymptomatic 40-year-old man: a case report. J Med Case Rep 2018; 12: 234.CrossRefGoogle Scholar
Hurwitz, LE, Roberts, WC. Quadricuspid semilunar valve. Am J Cardiol 1973; 31: 623626.CrossRefGoogle ScholarPubMed
Nakamura, Y, Taniguchi, I, Saiki, M, Morimoto, K, Yamaga, T. Quadricuspid aortic valve associated with aortic stenosis and regurgitation. Jpn J Thorac Cardiovasc Surg 2001; 49: 714716.CrossRefGoogle ScholarPubMed
Simonds, JP. Congenital malformations of the aortic and pulmonary valves. Am J Med Sci 1923; 166: 584595.CrossRefGoogle Scholar
Nakano, Y, Waseda, K, Ando, H, Tanabe, S, Niwa, T, Amano, T. Tumor-like appearance in ruptured sinus of Valsalva with quadricuspid aortic valve. J Cardiol Cases 2019; 20: 115117.CrossRefGoogle ScholarPubMed
Xu, M, Song, L, Tao, L, Xiao, H. Surgical repair of a quadricuspid aortic valve associated with a ruptured sinus of Valsalva aneurysm. J Thorac Cardiovasc Surg 2020; 159: e341e342.CrossRefGoogle ScholarPubMed
Akerem Khan, SK, Tamin, SS, Burkhart, HM, Araoz, PA, Young, PM. Quadricuspid aortic valve with ruptured sinus of Valsalva. Cardiol Young 2013; 23: 154156.CrossRefGoogle ScholarPubMed
Saito, N, Yoshimura, T, Miyatsu, K, Ikeda, M. [Quadricuspid aortic valve with atrial septal defect; report of a case]. Kyobu Geka 2017; 70: 203206.Google Scholar
Doğan, T, Arısoy, A, Memiç, K, Dağlı, M. Case images: quadricuspid aortic valve with partial pulmonary venous return anomaly and atrial septal defect. Turk Kardiyol Dern Ars 2014; 42: 312.CrossRefGoogle ScholarPubMed
Tatari, H, Dehaki, MG, Omrani, G, Ghaheri, H, Al-Dairy, A, Mortezaeian, H. Intraoperative diagnosis of a quadricuspid aortic valve. Asian Cardiovasc Thorac Ann 2018; 26: 704706.CrossRefGoogle ScholarPubMed
Erdmenger, J, Vázquez-Antona, C, Becerra, R, et al. [Quadricuspid aortic valve in a patient with d-transposition of the great arteries]. Arch Cardiol Mex 2005; 75: 460462.Google Scholar
Stanescu, CM, Branidou, K. A case of 75-year-old survivor of unrepaired tetralogy of Fallot and quadricuspid aortic valve. Eur J Echocardiogr 2008; 9: 167170.Google ScholarPubMed
Maheshwari, M, Tanwar, CP, Mittal, SR. Tetralogy of Fallot with quadricuspid aortic valve. J Assoc Physicians India 2013; 61: 145146.Google ScholarPubMed
Jackson, C, Sarwar, T, Hwang, I, Joglekar, K, Alsafwah, S. Quadricuspid aortic valve infective endocarditis. J Clin Ultrasound 2018; 46: 145148.CrossRefGoogle ScholarPubMed
Tsang, MY, Abudiab, MM, Ammash, NM, et al. Quadricuspid aortic valve: characteristics, associated structural cardiovascular abnormalities, and clinical outcomes. Circulation 2016; 133: 312319.CrossRefGoogle ScholarPubMed
Cho, EJ, Son, MK, Park, SJ, et al. Aggravating factors associated with the severity of aortic regurgitation and clinical characteristics of patients with quadricuspid aortic valve. J Heart Valve Dis 2015; 24: 148155.Google ScholarPubMed
Hasegawa, S, Tanaka, H, Okita, Y. Valve-sparing aortic root replacement combined with bicuspidization for a quadricuspid aortic valve. Eur J Cardiothorac Surg 2019; 55: 10061007.CrossRefGoogle ScholarPubMed
Kawashima, T, Komiya, T, Tsuneyoshi, H, Shimamoto, T, Sakai, J, Hiraoka, T. [Quadricuspid aortic valve repair]. Kyobu Geka 2016; 69: 99105.Google Scholar
Aoyama, R, Futami, S, Tanaka, J, Takeda, K, Nishimura, T, Tobaru, T. Transcatheter aortic valve implantation using Evolut R in quadricuspid aortic valve with severe stenosis and regurgitation. Cardiovasc Interv Ther 2019; 34: 285287.CrossRefGoogle ScholarPubMed
Benkemoun, H, Bramlage, P, Beaufigeau, M. A four-leaf clover: a case report of quadricuspid aortic valve stenosis. J Card Surg 2020; 35: 11251128. DOI 10.1111/jocs.14511.CrossRefGoogle ScholarPubMed