Jeanmart Hugues, de Kerchove Laurent, El Bitar Firas, Glineur David, Vandyck Michel, Noirhomme Philippe, El Khoury Gebrine
Department of Cardiothoracic and Vascular Surgery, Université Catholique de Louvain, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
J Heart Valve Dis. 2007 Mar;16(2):148-50.
Quadricuspid aortic valve in adulthood is a rare pathology which often leads to aortic valve regurgitation that requires surgical treatment. Herein are described two patients with severe regurgitation on a quadricuspid aortic valve and with dilated left ventricle, who where successfully repaired using a technique of tricuspidation of the valve at the level of the abnormal commissure. In each patient, the repair was stabilized and leaflet coaptation increased by subcommissural annuloplasty stitches at the level of the three commissures. After one year and six months' follow up, respectively, both patients presented with trivial aortic regurgitation and good mobility of the three leaflets.
成人四叶式主动脉瓣是一种罕见的病理情况，常导致主动脉瓣反流，需要手术治疗。本文描述了两名患有严重反流的四叶式主动脉瓣且左心室扩张的患者，他们通过在异常瓣叶交界水平进行瓣膜三尖瓣化技术成功修复。在每名患者中，通过在三个瓣叶交界水平进行交界下瓣环成形缝线，修复得以稳定，瓣叶对合增加。分别经过一年和六个月的随访，两名患者均出现微量主动脉反流，且三个瓣叶活动良好。
