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Clinical Images  |   August 2012
Quadricuspid Aortic Valve With Aortic Regurgitation
Author Notes
  • 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: ashesh.parikh@gmail.com  
Article Information
Cardiovascular Disorders / Imaging / Pediatrics / Clinical Images
Clinical Images   |   August 2012
Quadricuspid Aortic Valve With Aortic Regurgitation
The Journal of the American Osteopathic Association, August 2012, Vol. 112, 565. doi:10.7556/jaoa.2012.112.8.565
The Journal of the American Osteopathic Association, August 2012, Vol. 112, 565. doi:10.7556/jaoa.2012.112.8.565
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. 
   Financial Disclosures: None reported.
 
   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 jaoa@osteopathic.org.
 
References
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