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Quadricuspid Aortic Valve With Aortic Regurgitation

  • Ashesh Parikh and Farhan Ali
Published/Copyright: August 1, 2012
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Journal of Osteopathic Medicine
From the journal Journal of Osteopathic Medicine Volume 112 Issue 8

A 51-year-old man presented to the hospital with symptoms suggestive of an embolic stroke, including slurred speech. The patient's history included mild aortic regurgitation, which was detected by means of transthoracic echocardiography 3 months before presentation. Transesophageal echocardiographic findings confirmed mild aortic regurgitation (panel A) and revealed a quadricuspid aortic valve (QAV). A QAV is a rare cardiac anomaly that is often found incidentally during echocardiography, surgical procedures, or postmortem examinations.1 Since 1862, more than 200 cases and 8 variations of QAV have been described, with an incidence of 0.008% to 1.0% among US adults.2-4 Our patient had a type B QAV, with 3 equalsized cusps and 1 smaller cusp (panel B). The patient was instructed to take aspirin (325 mg daily) for the presumed stroke. His symptoms resolved within 24 hours and he remained asymptomatic at 2-week follow-up. The patient was instructed to undergo transthoracic echocardio graphy annually to monitor progression of his aortic regurgitation.

From the Plaza Medical Center of Fort Worth (Dr Parikh) and the Heart Center of North Texas (Dr Ali) in Fort Worth, Texas
Address correspondence to Ashesh Parikh, DO, Cardiology Fellow, Plaza Medical Center of Fort Worth, 900 8th Ave, Fort Worth, TX 76104-3902. E-mail:

  1. Financial Disclosures: None reported.

  2. Authors interested in contributing to “Clinical Images” should refer to the JAOA's “Information for Authors” at http://www.jaoa.org/misc/ifora.xhtml. Submissions should be sent to .

References

1 Formica F Sangalli F Ferro O Paolini G . A rare cause of severe aortic regurgitation: quadricuspid aortic valve. Interact Cardiovasc Thorac Surg.2004;3(4):672-674.10.1016/j.icvts.2004.08.004Search in Google Scholar

2 Timperley J Milner R Marshall AJ Gilbert TJ . Quadricuspid aortic valves [review]. Clin Cardiol.2002;25(12):548-552.10.1002/clc.4950251203Search in Google Scholar

3 Hurwitz LE Roberts WC . Quadricuspid semilunar valve. Am J Cardiol.1973;31(5):623-626.10.1016/0002-9149(73)90332-9Search in Google Scholar

4 Vali Y Rajendra R Nishtar S . A previously undescribed type of quadricuspid aortic valve: type H. J Heart Valve Dis.2010;19(6):792-793.Search in Google Scholar
Received: 2012-02-11
Revised: 2012-04-19
Accepted: 2012-05-04
Published Online: 2012-08-01
Published in Print: 2012-08-01

© 2012 The American Osteopathic Association

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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https://doi.org/10.7556/jaoa.2012.112.8.565
Creative Commons
BY-NC-ND 4.0

Articles in the same Issue

  1. Letters
  2. Graduating Osteopathic Medical Students' Perceptions and Recommendations on the Decision to Take the USMLE
  3. Response
  4. The Failed Theratope Vaccine: 10 Years Later
  5. Editorials
  6. Touch: Vital to Patient-Physician Relationships
  7. Writing a Research Manuscript: Help From a New Series in the JAOA
  8. Original Contributions
  9. Preventative Osteopathic Manipulative Treatment and the Elderly Nursing Home Resident: A Pilot Study
  10. Validation of a Triage Algorithm for Psychiatric Screening (TAPS) for Patients With Psychiatric Chief Complaints
  11. Medical Education
  12. Frequency of Specific Osteopathic Manipulative Treatment Modalities Used by Candidates While Taking COMLEX-USA Level 2-PE
  13. Special Communication
  14. Touch—More Than a Basic Science
  15. The Phoenix Physician: Defining a Pathway Toward Leadership in Patient-Centered Care
  16. Case Report
  17. Psoas Syndrome: A Frequently Missed Diagnosis
  18. AOA Communication
  19. 56th Annual AOA Research Conference—Abstracts, 2012
  20. Clinical Images
  21. Quadricuspid Aortic Valve With Aortic Regurgitation
  22. In Your Words
  23. The Plight of My Childhood Community
  24. Special Communication
  25. Modern-Day Considerations for References in Scientific Writing
  26. CME Quiz
  27. CME Quiz
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