A Quadricuspid Aortic Valve in an Asymptomatic Male

Clinical Image

Austin J Clin Cardiolog. 2015; 2(1): 1033.

A Quadricuspid Aortic Valve in an Asymptomatic Male

Evin Bozcali¹* and Veli Polat²

¹Department of Cardiology, Koç University, School of Medicine, Turkey

²Department of Cardiology, Bakirkoy Dr. Sadi Konuk Education and Research Hospital, Turkey

*Corresponding author: Evin Bozcali, Department of Cardiology, Koç University, School of Medicine Koç Universitesi Hastanesi, Davutpasa Caddesi No: 4 34010, Topkapi, Istanbul, Turkey

Received: July 14, 2015; Accepted: September 16, 2015; Published: September 24, 2015

Clinical Image

A grade 2/6 diastolic murmur at the left sternal border was detected in an 18-year-old asymptomatic male. Transthoracic Echocardiography (TTE) revealed Quadricuspid Aortic Valve (QAV) with mild aortic regurgitation. Short axis view showed four cusps of aortic valve with an “X“ shaped pattern rather than a normal “Y“ pattern, which is a typical echocardiographic finding for the QAV.

The QAV is a rare congenital heart anomaly. Our patient represents one small and three large cusps. Previously, the QAV cases were mainly discovered incidentally in surgery or autopsy. Nowadays, most patients with QAV were determined by echocardiography.

Citation: Bozcali E and Polat V. A Quadricuspid Aortic Valve in an Asymptomatic Male. Austin J Clin Cardiolog. 2015; 2(1): 1033. ISSN : 2381-9111