Turk Kardiyol Dern Ars. 2007; 35(3): 181-183

Dilated cardiomyopathy in a patient with quadricuspid aortic valve

Aslı Tanındı, Yusuf Tavil, Mustafa Cemri, Deniz Demirkan
Department of Cardiology, Gazi University, Ankara, Turkey

Quadricuspid aortic valve is a rare congenital malformation which used to be discovered incidentally at necropsy, or during aortic valve replacement surgery or aortic angiography until the recent advances in transesophegeal echocardiography. It mostly results in aortic insufficiency, though it may be functionally normal. Congestive heart failure was detected in a 33-year-old male patient with a history of acute rheumatic fever. Transthoracic echocardiography showed dilatation of the left ventricle, thickening and fibrosis of the mitral valve, third degree mitral regurgitation, and a quadricuspid aortic valve. Coronary angiography showed global hypokinesia, aortic and mitral insufficiency. Aortic valve replacement and mitral valve repair were recommended to the patient.

Keywords: Aortic valve/abnormalities, aortic valve insufficiency, echocardiography, mitral valve insufficiency; rheumatic fever/ complications

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