Center of Cardiothoracic Surgery, University Hospital and Medical School, Coimbra, Portugal.
Center of Cardiothoracic Surgery, University Hospital and Medical School, Coimbra, Portugal.
Rev Port Cardiol (Engl Ed). 2021 Jan;40(1):63.e1-63.e5. doi: 10.1016/j.repc.2018.04.012. Epub 2020 Dec 10.
Quadricuspid aortic valve (QAV) is a rare congenital condition that frequently progresses to aortic regurgitation with clinical impact in adulthood. Surgical treatment is required in the fifth to sixth decade of life in about one fifth of patients. We describe the case of a 64-year-old woman with regular cardiological follow-up for severe aortic valve regurgitation who had suffered recent clinical and echocardiographic deterioration. Conventional open surgery was indicated. During the procedure, a QAV with leaflet retraction and central orifice was observed. The aortic valve was successfully replaced.
三尖瓣式主动脉瓣（QAV）是一种罕见的先天性疾病，常进展为成人期有临床影响的主动脉瓣反流。约五分之一的患者在五、六十岁时需要进行手术治疗。我们描述了一位 64 岁女性的病例，她因严重主动脉瓣反流定期进行心脏科随访，近期出现临床和超声心动图恶化。提示行传统的开放式心脏手术。在手术过程中，观察到瓣叶回缩和中央瓣口的 QAV。主动脉瓣成功置换。
