Quadricuspid aortic valve: a comprehensive review
Rev. bras. cir. cardiovasc
;
31(6): 454-460, Nov.-Dec. 2016. tab, graf
Article
in English
| LILACS
| ID: biblio-843454
ABSTRACT
Abstract Quadricuspid aortic valve (QAV) is a rare congenital heart disease. The functional status of QAV is predominantly a pure aortic regurgitation. Clinical manifestations of patients with a QAV depend on the functional status of the QAV and the associated disorders. Significant valvular regurgitation and (or) stenosis is often present with subsequent operation performed at the fifth to sixth decade of life. The functional status of QAV is predominantly regurgitant; whereas pure stenotic QAV can be as few as in only 0.7% of the patients. QAV is usually an isolated anomaly, but other congenital heart defects can be present in 18-32% of the patients. About one-fifth of them require a surgical operation. Tricuspidalization is a preferred technique for QAV repair. As not all the patients with a QAV necessarily warrant a surgical operation, decision-making in patient selection and surgical procedure of choice are crucial. Antibiotic prophylaxis against infective endocarditis is necessary in the QAV patients with unequal-sized cusps.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Aortic Valve
/
Heart Defects, Congenital
/
Heart Valve Diseases
Type of study:
Prognostic study
Limits:
Humans
Language:
English
Journal:
Rev. bras. cir. cardiovasc
Journal subject:
Cardiology
/
General Surgery
Year:
2016
Type:
Article
Affiliation country:
China
Institution/Affiliation country:
Fujian Medical University/CN
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