Zhu Jiaquan, Zhang Junwen, Wu Shubin, Zhang Yunjiao, Ding Fangbao, Mei Ju
Cardiovascular Surgery Division, Cardiac Center, Shanghai Jiaotong University, Shanghai, China.
J Cardiothorac Surg. 2013 Apr 15;8:87. doi: 10.1186/1749-8090-8-87.
Congenital quadricuspid aortic valve is a rare cardiac anomaly. More than half of the patients with this abnormality will develop aortic insufficiency in adulthood. It is vital that patients with quadricuspid aortic valve who present with progressive aortic regurgitation undergo valve replacement or repair at appropriate time. Here, we present two cases of quadricuspid aortic valve. We first describe a 58-year-old man who had mitral regurgitation and ascending aorta dilatation with quadricuspid aortic valve. He underwent aortic valve replacement and mitral valve plasty and recovered well. The second patient is a 20-year-old asymptomatic boy who has been closely followed up and has not received any surgical treatment.
先天性四叶式主动脉瓣是一种罕见的心脏异常。超过半数患有这种异常的患者在成年后会出现主动脉瓣关闭不全。对于出现进行性主动脉瓣反流的四叶式主动脉瓣患者,在适当的时候进行瓣膜置换或修复至关重要。在此,我们展示两例四叶式主动脉瓣病例。我们首先描述一名58岁男性,他患有二尖瓣反流、升主动脉扩张并伴有四叶式主动脉瓣。他接受了主动脉瓣置换和二尖瓣成形术,恢复良好。第二位患者是一名20岁无症状男孩,一直在密切随访中,尚未接受任何手术治疗。