Begić, Edin

Isaković, Salko

Mačkić, Denis

Čustović, Faruk

Cardiologia Croatica

English

Denis Mačkić

Edin Begić

Faruk Čustović

Salko Isaković

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Quadricuspid aortic valve: a rare congenital heart anomaly

Hrčak - Portal of scientific journals of Croatia

2022;17(9-10):238.14. kongres Hrvatskoga kardiološkog društva s međunarodnim sudjelovanjem14th Congress of the Croatian Cardiac Society with International ParticipationZagreb, November 24-27, 2022Echocardiography, MSCT, MRI Extended AbstractQuadricuspid aortic valve: a rare congenital heart anomalyDenis Mačkić*,Edin Begić,Faruk Čustović,Salko IsakovićGeneral Hospital “Prim.dr. Abdulah Nakaš”, Sarajevo, Bosnia and HerzegovinaKEYWORDS: aortic valve, congenital heart defect, aortic regurgitation, echocardiography, treatment.CITATION: Cardiol Croat. 2022;17(9-10):238. | https://doi.org/10.15836/ccar2022.238*ADDrESS FOr COrrESpONDENCE: Denis Mačkić, General Hospital “Prim.dr. Abdulah Nakaš”, Kranjčevićeva 12, 71000 Sarajevo, Bosnia and Herzegovina. / Phone: +387 33 285-100 / E-mail: denismackic@hotmail.comOrCID: Denis Mačkić, https://orcid.org/0000-0001-6540-4944 • Edin Begić, https://orcid.org/0000-0001-6842-262X Faruk Čustović, https://orcid.org/0000-0001-7254-8858 • Salko Isaković, https://orcid.org/0000-0002-9272-0747rECEIvED: October 12, 2022ACCEpTED: November 10, 2022Aim: To present accidental detection of quadricuspid aortic valve (QAV), a rare congenital heart anom-aly with an incidence of 0.01–0.04%.Case presentation: 49-years-old patient came for an examination due to tachycardia and palpitations during physical exertion. Transthoracic echocardiography verified the regular dimensions of the left and right heart cavities, with preserved systolic function of the left ventricle, and mild mitral and tricuspid regurgitation. The existence of QAV was suspected, while moderate aortic regurgitation was verified (pressure half-time 390 ms, vena contracta 5 mm, jet covered 40% left ventricular outflow tract, regurgitant volume 35 mL, regurgitant fraction 36%, effective regurgitant orifice area 0.16 cm2). Transesophageal echocardiography confirmed the diagnosis of QAV (Figure 1).Conclusion: In QAV, diagnosis, as well as monitoring of aortic regurgitation, are of essential impor-tance because of timely surgical treatment1,2.LITErATUrE1. Saith S, Saith S, Murthy A. Quadricuspid Aortic Valve: An Introduction for Clinicians. Cardiol Res. 2022 Feb;13(1):2-10. https://doi.org/10.14740/cr13082. Piracha UG, Kowlgi GN, Paulsen W, Mojadidi MK, Patel N. Quadricuspid aortic valve: a case report and review of literature. Future Cardiol. 2021 Aug;17(5):833-840. https://doi.org/10.2217/fca-2020-0135Figure 1. A quadricuspid aortic valve with moderate aortic regurgitation.

Quadricuspid aortic valve: a rare congenital heart anomaly

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