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Unicuspid and quadricuspid aortic valves: two case reports and literature review

Part of: Atrial Septal Defect (ASD) Echocardiography Cardiac Morphology

Published online by Cambridge University Press:  31 March 2021

Eyup Aslan Open the ORCID record for Eyup Aslan [Opens in a new window]
Eyup Aslan*
Affiliation:
Department of Pediatric Cardiology, Denizli State Hospital, Denizli, Turkey
*
Author for correspondence: Eyup Aslan, MD, Denizli State Hospital, Sirakapilar Mahallesi, Sehit Albay Karaoglanoglu Caddesi No:3 Merkezefendi, Denizli20100, Turkey.. Tel: +90 (258) 2639311, Fax: +90 (507) 5057763. E-mail: [email protected]
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Abstract

There are three cusps in a normally developed aortic valve. Abnormal excavation or fusion, during the embryological development of the aortic valve, results in a varying number of cusps. Bicuspid aortic valve is the most common, but more rarely, unicuspid and quadricuspid aortic valves can be seen.

Here, a case of a 16-year-old male with a unicommissural unicuspid aortic valve and a case of a 13-year-old female with a quadricuspid aortic valve were reported.

Keywords

Echocardiographyquadricuspid aortic valveunicuspid aortic valve
Type
Brief Report
Information
Cardiology in the Young , Volume 31 , Issue 9 , September 2021 , pp. 1538 - 1541
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Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

Angelini, A, Ho, SY, Anderson, RH, et al. The morphology of the normal aortic valve as compared with the aortic valve having two leaflets. J Thorac Cardiovasc Surg 1989; 98: 362–367.CrossRefGoogle ScholarPubMed
Krepp, JM, Roman, MJ, Devereux, RB, et al. Bicuspid and unicuspid aortic valves: different phenotypes of the same disease? Insight from the GenTAC Registry. Congenital Heart Dis 2017; 12: 740–745.CrossRefGoogle ScholarPubMed
Robicsek, F, Sanger, PW, Daugherty, HK, Montgomery, CC. Congenital quadricuspid aortic valve with displacement of the left coronary orifice. Coll Works Cardiopulm Dis 1968; 14: 87–90.Google ScholarPubMed
Falk, V, Baumgartner, H, Bax, JJ, et al. 2017 ESC/EACTS Guidelines for the management of valvular heart disease. Eur J Cardiothorac Surg 2017; 52: 616–664.CrossRefGoogle ScholarPubMed
Spicer, DE, Bridgeman, JM, Brown, NA, Mohun, TJ, Anderson, RH. The anatomy and development of the cardiac valves. Cardiol Young 2014; 24: 1008–1022.CrossRefGoogle ScholarPubMed
Essandoh, M, Castellon-Larios, K, Zuleta-Alarcon, A, Portillo, JG, Crestanello, JA. Unicuspid aortic stenosis in a patient with turner syndrome: a case report. Front Cardiovasc Med 2014; 1: 14.CrossRefGoogle Scholar
Slostad, BD, Witt, CM, O’Leary, PW, et al. Unicuspid aortic valve: demographics, comorbidities, echocardiographic features, and long-term outcomes. Circulation 2019; 140: 1853–1855.CrossRefGoogle ScholarPubMed
Ewen, S, Karliova, I, Weber, P, et al. Echocardiographic criteria to detect unicuspid aortic valve morphology. Eur Heart J Cardiovasc Imaging 2019; 20: 40–44.CrossRefGoogle ScholarPubMed
Armstrong, J, Crawford, J, Arnautovic, J. Unicuspid aortic valve replacement with development of complete heart block: a case report. Eur Heart J Case Rep 2019; 3: 26.Google ScholarPubMed
Fernández, B, Durán, AC, Martire, A, López, D, Sans-Coma, V. New embryological evidence for the formation of quadricuspid aortic valves in the Syrian hamster (Mesocricetus auratus). J Comp Pathol 1999; 121: 89–94.CrossRefGoogle Scholar
Hurwitz, LE, Roberts, WC. Quadricuspid semilunar valve. Am J Cardiol 1973; 31: 623–626.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: 714–716.CrossRefGoogle ScholarPubMed
Tsang, MYC, Abudiab, MM, Ammash, NM, et al. Quadricuspid aortic valve: characteristics, associated structural cardiovascular abnormalities, and clinical outcomes. Circulation 2016; 133: 312–319.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: 203–206.Google ScholarPubMed
Ermis, N, Bilgi, M, Altay, H, Erol, T. An asymtomatic unicuspid aortic valve with aortic aneurysm and secundum type atrial septal defect. Clin Cardiol 2010; 33: 38–39.CrossRefGoogle ScholarPubMed
Demirkol, S, Balta, S, Arslan, Z, Unlu, M, Kucuk, U, Iyisoy, A. Association of quadricuspid aortic valve and ventricular septal defect in a patient who had undergone atrial septal defect surgery. Kardiol Pol 2013; 71: 546.CrossRefGoogle Scholar
Ishigami, H, Iwase, M, Hyoudo, K, et al. A case of unicuspid aortic valve associated with a single coronary artery and ventricular septal defect. J Med Ultrason 2005; 32: 65–70.CrossRefGoogle ScholarPubMed
Maheshwari, M, Tanwar, CP, Mittal, SR. Tetralogy of Fallot with quadricuspid aortic valve. J Assoc Physicians India 2013; 61: 145–146.Google ScholarPubMed
Franco, A, Gabriel, S, Ruehm, SG. The quadricuspid aortic valve. J Radiol Case Rep 2014; 8: 25–29.Google ScholarPubMed
Agrawal, Y, Kalavakunta, J, Gupta, V. A rare aortic valve congenital abnormality in association with coarctation of the aorta. J Heart Valve Dis 2015; 24: 679–682.Google ScholarPubMed
Gouveia, S, Martins, JD, Costa, G, et al. Válvula aórtica quadricúspide--casuística de 10 anos e revisão da literatura [Quadricuspid aortic valve--10-year case series and literature review]. Rev Port Cardiol 2011; 30: 849–854.CrossRefGoogle Scholar
Saito, Y, Takaoka, H, Funabashi, N, et al. A case of very severe aortic stenosis due to unicuspid aortic valve mimicking bicuspid aortic valve with calcification on cardiac computed tomography. Int J Cardiol 2016; 215: 516.CrossRefGoogle ScholarPubMed
Yuzawa-Tsukada, N, Tanaka, TD, Morimoto, S, et al. Unicuspid aortic valve concomitant with aortic insufficiency presenting with infectious endocarditis: a case report. J Med Case Rep 2019; 13: 297.CrossRefGoogle ScholarPubMed
Jackson, C, Sarwar, T, Hwang, I, Joglekar, K, Alsafwah, S. Quadricuspid aortic valve infective endocarditis. J Clin Ultrasound 2018; 46: 145–148.CrossRefGoogle ScholarPubMed
Naito, S, Sequeira-Gross, T, Petersen, J, Holst, T, Reichenspurner, H, Girdauskas, E. Focus on a rare clinical entity: unicuspid aortic valve disease. Expert Rev Cardiovasc Ther 2020; 18: 625–633.CrossRefGoogle ScholarPubMed