loading page

Rare Quadricuspid aortic valve with acute early incapacitation
  • +1
  • Geoffrey Joseph Changwe,
  • Haiyang Wei,
  • Chengwei Zou,
  • Gang Zhang
Geoffrey Joseph Changwe
Shandong University School of Medicine
Author Profile
Haiyang Wei
Shandong Provincial Hospital
Author Profile
Chengwei Zou
Shandong Provincial Hospital
Author Profile
Gang Zhang
Shandong Provincial Hospital
Author Profile

Abstract

Abstract A 39-year-old male patient from a county health facility presented to our department with a one-year history of progressive exertional chest tightness (NYHA class III-IV), which resolved completely within five to six minutes of rest. Both motion and static imaging results revealed a rare solitary Quadricuspid aortic valve (QAV) with severe aortic valve regurgitation. The QAV was replaced with mechanical prosthetic valve via mini-superior sternotomy on cardiopulmonary bypass machine. The patient was reviewed a month after operation, and assessment revealed that he had reverted to NYHA class-I. A rare congenital lesion such as QAV, repair may not be the best option due to lack of long-term data on longevity. Additionally, choice of a mechanical prosthetic valve guarantees unwanted re-operations associated with possible failure of bioprosthetic valves.