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- Title
Quadricuspid aortic valve complicated with infective endocarditis: report of a case.
- Authors
Mizoguchi, Hiroki; Sakaki, Masayuki; Inoue, Kazushige; Kobayashi, Yasuhiko; Iwata, Takashi; Suehiro, Yasuo; Miura, Takuya
- Abstract
Congenital quadricuspid aortic valve is a rare cardiac malformation with an unknown risk of infective endocarditis. We report a case of quadricuspid aortic valve complicated with infective endocarditis. A 53-year-old Japanese woman was hospitalized with leg edema and a fever of unknown origin. Corynebacterium striatum was detected in the blood culture. Echocardiography demonstrated a quadricuspid aortic valve with vegetation and severe functional regurgitation. The condition was diagnosed as a quadricuspid aortic valve with infective endocarditis, for which surgery was performed. The quadricuspid aortic valve had three equal-sized cusps and one smaller cusp (type B according to Hurwitz classification). We dissected the vegetation and infectious focus and implanted a mechanical valve. Following the case report, we review the literature.
- Subjects
AORTIC valve abnormalities; AORTIC valve surgery; ECHOCARDIOGRAPHY; CORYNEBACTERIUM; INFECTIVE endocarditis; CARDIOVASCULAR system abnormalities; DISEASE risk factors
- Publication
Surgery Today, 2014, Vol 44, Issue 12, p2388
- ISSN
0941-1291
- Publication type
Article
- DOI
10.1007/s00595-014-0844-1