University Hospitals Cleveland Medical Center, Cleveland, OH.
University Hospitals Cleveland Medical Center, Cleveland, OH.
J Cardiothorac Vasc Anesth. 2022 Mar;36(3):717-723. doi: 10.1053/j.jvca.2021.02.033. Epub 2021 Feb 15.
The quadricuspid aortic valve (QAV) is a rare congenital anomaly that typically is unrelated to other cardiac anomalies. It usually is discovered incidentally through imaging modalities such as echocardiogram or computed tomography angiogram, during surgery, or autopsy. Some patients with QAV develop aortic regurgitation and, rarely, other cardiovascular complications like aortic aneurysm. Due to its rarity, it is difficult to characterize these patients or standardize management. However, review of case reports can be very useful in rare medical conditions such as QAV. In this manuscript, in addition to presenting two cases of QAV, the authors reviewed 149 cases of QAV from 2010 to 2020 from published case studies and series in order to gain a better insight into the characteristics of the patient population with QAV and its management.
四叶式主动脉瓣（QAV）是一种罕见的先天性异常，通常与其他心脏异常无关。它通常通过超声心动图或计算机断层血管造影等影像学方式在手术或尸检中偶然发现。一些 QAV 患者会出现主动脉瓣反流，极少数情况下还会出现主动脉瘤等其他心血管并发症。由于其罕见性，很难对这些患者进行特征描述或标准化管理。然而，在 QAV 等罕见疾病中，对病例报告进行回顾非常有用。在本文中，除了介绍两例 QAV 病例外，作者还回顾了 2010 年至 2020 年发表的病例研究和系列中的 149 例 QAV 病例，以更好地了解 QAV 患者人群的特征及其管理。
