Bouziane M, Marchetta S, Dulgheru R E, Lancellotti P
Service de Cardiologie, CHU Liège, Belgique..
Rev Med Liege. 2019 Jul;74(7-8):378-381.
The quadricuspid aortic valve is a rare congenital anomaly that could be silent for a long time. It is mostly isolated but it may also be associated with other malformations, especially anomalies of the coronary artery insertion. It can lead to aortic regurgitation with several degrees of severity, and it should be diagnosed as soon as possible to avoid left ventricular dysfunction and its morbi-mortality. We report the case of a 67-years-old female patient with recent discovery of moderate aortic regurgitation, which has beneficiated from surgical closure of an atrial septal defect in her childhood, and who has never been diagnosed with a quadricuspid aortic valve.
四叶式主动脉瓣是一种罕见的先天性异常，可能长时间无明显症状。它大多为孤立性病变，但也可能与其他畸形相关，尤其是冠状动脉插入异常。它可导致不同程度的主动脉反流，应尽早诊断以避免左心室功能障碍及其带来的发病和死亡风险。我们报告一例67岁女性患者，近期发现中度主动脉反流，该患者童年时曾接受房间隔缺损手术闭合治疗，此前从未被诊断为四叶式主动脉瓣。
