Austin J Clin Cardiolog. 2015; 2(1): 1033.
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
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.
Figure 1: (Figure, panel A, R: right coronary cusp;L: left coronary cusp; N: noncoronary cusp; Ac: accessory cusp). Parasternal long-axis view showed a “WrD shape, which is formed by QAV (Figure, panel B).