Quadricuspid aortic valve repair with a modified-tricuspidization technique.

Authors :: D'Errico Ramirez A
Squiccimarro E
De Palo M
Acquaviva T
Milano AD
Source :: Echocardiography (Mount Kisco, N.Y.) [Echocardiography] 2022 Oct; Vol. 39 (10), pp. 1363-1366. Date of Electronic Publication: 2022 Sep 22.
Publication Year :: 2022
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.<br />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.<br />Discussion: QAV repair represents an attractive perspective to overcome the drawbacks of either mechanical or biological prosthesis.<br /> (© 2022 The Authors. Echocardiography published by Wiley Periodicals LLC.)