Quadricuspid aortic valve repair with a modified-tricuspidization technique

Antonio D'Errico Ramirez; Enrico Squiccimarro; Micaela De Palo; Tommaso Acquaviva; Aldo Domenico Milano

doi:10.1111/echo.15448

Quadricuspid aortic valve repair with a modified-tricuspidization technique

Echocardiography. 2022 Oct;39(10):1363-1366. doi: 10.1111/echo.15448. Epub 2022 Sep 22.

Authors

Antonio D'Errico Ramirez¹, Enrico Squiccimarro^{2

3}, Micaela De Palo¹, Tommaso Acquaviva¹, Aldo Domenico Milano¹

Affiliations

¹ Cardiac Surgery Unit, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy.
² Cardiac Surgery Unit, Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy.
³ Cardio-Thoracic Surgery Department, Heart & Vascular Centre, Maastricht University Medical Centre, Maastricht, The Netherlands.

Abstract

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.

Keywords: aortic valve regurgitation; aortic valve repair; quadricuspid aortic valve.

Publication types

Case Reports

MeSH terms

Aortic Valve / diagnostic imaging
Aortic Valve / surgery
Aortic Valve Insufficiency* / diagnostic imaging
Aortic Valve Insufficiency* / surgery
Cardiac Surgical Procedures*
Female
Humans
Middle Aged
Quadricuspid Aortic Valve*
Treatment Outcome