Hostname: page-component-cd9895bd7-p9bg8 Total loading time: 0 Render date: 2024-12-17T20:53:11.940Z Has data issue: false hasContentIssue false
  • English
  • Français

Congenital quadricuspid aortic valve in children

Published online by Cambridge University Press:  01 June 2008

Alfredo Di Pino ,
Placido Gitto ,
Antonio Silvia  and
Innocenzo Bianca
Alfredo Di Pino*
Affiliation:
Paediatric Cardiology, San Vincenzo Hospital, Taormina, Messina, Italia
Placido Gitto
Affiliation:
Paediatric Cardiology, San Vincenzo Hospital, Taormina, Messina, Italia
Antonio Silvia
Affiliation:
Paediatric Cardiology, San Vincenzo Hospital, Taormina, Messina, Italia
Innocenzo Bianca
Affiliation:
Paediatric Cardiology, San Vincenzo Hospital, Taormina, Messina, Italia
*
Correspondence to: Alfredo Di Pino, Unità Operativa di Cardiologia Pediatrica, Ospedale S. Vincenzo Contrada Sirina, 98039 Taormina Messina. Tel: 0942579850; Fax: 094252215; E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Quadricuspid aortic valves are rare congenital anomalies, usually diagnosed in adult patients affected by severe aortic regurgitation. We have now encountered three such valves in children undergoing transthoracic echocardiography. All children were asymptomatic. The first child possessed a valve with two larger leaflets, and smaller leaflets of equal size. In the second child, 3 leaflets were of equal size, with 1 small accessory leaflet. The third child had a valve with four leaflets of approximately equal size. In one child, the aortic valve was functioning normally, and came to attention because of mitral valvar prolapse causing mild regurgitation. In the remaining two children, central mild aortic regurgitation was detected using colour flow analysis, and associated dilation of the aortic root was revealed by measurements of the cross-sectional images.

Keywords

Arterial valveregurgitationaortic root
Type
Original Article
Information
Cardiology in the Young , Volume 18 , Issue 3 , June 2008 , pp. 324 - 327
Copyright
Copyright © Cambridge University Press 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Simonds, JP. Congenital malformation of the aortic and pulmonary valves. Am J Med Sci 1923; 166: 584–595.CrossRefGoogle Scholar
2.Hurwitz, LE, Roberts, WC. Quadricuspid semilunar valve. Am J Cardiol 1973; 31: 623–626.CrossRefGoogle ScholarPubMed
3.Olson, LJ, Subramanian, R, Edwards, WD. Surgical pathology of pure aortic insufficiency: a study of 225 cases. Mayo Clin Proc 1984; 59: 835–841.CrossRefGoogle ScholarPubMed
4.Yutsumoto, G, Iguro, Y, Kinjo, T, Matsumoto, H, Masuda, H, Sakata, R. Congenital quadricuspid aortic valve: report of nine surgical cases. Ann Thorac Cardiovasc Surg 2003; 9: 134–137.Google Scholar
5.Janssens, U, Klues, HG, Hanrath, P. Congenital quadricuspid aortic valve anomaly associated with hypertrophic non-obstructive cardiomyopathy: a case report and review of the literature. Heart 1997; 78: 83–87.CrossRefGoogle ScholarPubMed
6.Roman, MJ, Devereux, RB, Kramer-Fox, R, O’Loughlin, J, Spitzer, M, Robins, J. Two-dimensional echocardiographic aortic root dimensions in normal children and adults. Am J Cardiol 1989; 64: 507–512.CrossRefGoogle ScholarPubMed
7.Tutarel, O. The quadricuspid aortic valve: a comprehensive review. J Heart Valve Dis 2004; 13: 534–537.Google ScholarPubMed
8.Davia, JE, Fenoglio, JJ, DeCastro, CM, McAllister, HA Jr, Cheitlin, MD. Quadricuspid semilunar valve. Chest 1977; 72: 186–189.CrossRefGoogle Scholar
9.Timperley, J, Milner, R, Marshall, AJ, Gilbert, TJ. Quadricuspid aortic valves. Clin Cardiol 2002; 25: 548–552.CrossRefGoogle ScholarPubMed
10.Tutarel, O. Quadricuspid aortic valves and anomalies of the coronary arteries. J Thorac Cardiovasc Surg 2003; 126: 1198–1199.Google Scholar
11.Coeurderoy, A, Biron, Y, Laurent, M, Almange, C. Congenital quadricuspid aortic valve. Apropos of a case. Review of the literature. Arch Mal Coeur Vaiss 1986; 79: 745–748.Google ScholarPubMed
12.Divakaramenon, SM, Venugopal, K. Quadricuspid aortic valve. Heart 2005; 91: 289.CrossRefGoogle ScholarPubMed
13.Kurosawa, H, Wagenaar, SS, Becker, AE. Sudden death in a youth. A case of quadricuspid aortic valve with isolation of origin of the left coronary artery. Br Heart J 1981; 46: 211–215.CrossRefGoogle Scholar
14.Mutsuga, M, Tamaki, S, Yokoyama, Y, et al. Acute occlusion of left coronary ostium associated with congenital quadricuspid aortic valve. Ann Thorac Surg 2005; 79: 1760–1761.CrossRefGoogle ScholarPubMed
15.Rosenkranz, ER, Murphy, DJ Jr, Cosgrove, DM. Surgical management of left coronary artery ostial atresia and supravalvar aortic stenosis. Ann Thorac Surg 1992; 54: 779–781.CrossRefGoogle ScholarPubMed
16.Barbosa, MM, Motta, MS. Quadricuspid aortic valve and aortic regurgitation diagnosed by Doppler echocardiography: report of two cases and review of the literature. J Am Soc Echocardiogr 1991; 4: 69–74.CrossRefGoogle ScholarPubMed
17.Takeda, N, Ohtaki, E, Kasegawa, H, Tobaru, T, Sumiyoshi, T. Infective endocarditis associated with quadricuspid aortic valve. Jpn Heart J 2003; 44: 441–445.CrossRefGoogle ScholarPubMed
18.Godefroid, O, Colles, P, Vercauteren, S, Louagie, Y, Marchandise, B. Quadricuspid aortic valve: a rare etiology of aortic regurgitation. Eur J Echocardiography 2006; 7: 168–170.CrossRefGoogle ScholarPubMed
19.Gurvitz, M, Chang, R-K, Drant, S, Allada, V. Frequency of aortic root dilatation in children with a bicuspid aortic valve. Am J Cardiol 2004; 94: 1337–1340.CrossRefGoogle ScholarPubMed