(en) CLINICAL VIGNETTE : A 47-year-old man was referred to our department for severe and symptomatic aortic regurgitation. The patient complained of shortness of breath (NYHA II-III) over the previous couple of months. He also presented with arterial hypertension, dyslipidaemia and a history of smoking. Physical examination revealed a diastolic murmur in the aortic and mitral valve areas. A transoesophageal ultrasound scan showed normal left ventricular function and severe aortic regurgitation on a quadricuspid valve. Further, the left ventricle was slightly dilated with an end-diastolic diameter (LVEDD of 61 mm) but not aortic dilatation. A coronary angiogram did not show significant coronary lesions or anomalies. The patient was scheduled for elective repair of the aortic valve.
Mastrobuoni, S., Aphram, G., Tamer, S., Navarra, E., de Kerchove, L., & El Khoury, G. (2019). Quadricuspid aortic valve repair. Annals of Cardiothoracic Surgery, 8(3), 433-435. https://doi.org/10.21037/acs.2019.05.05 (Original work published 2019)