Why the study?
Quadricuspid aortic valve is a very rare congenital abnormality, documented here as an incidental finding at an advanced age during transthoracic echocardiography.
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Highlights the rare incidental finding of a quadricuspid aortic valve in an elderly patient using transthoracic echocardiography.
Quadricuspid aortic valve (QAV) is a very rare congenital abnormality. Here, we present a rare case of QAV incidentally noted in a patient at an advanced age during transthoracic echocardiography (TTE). A 73-year-old man with a history of hypertension, hyperlipidemia, diabetes, and treated prostate cancer was admitted to the hospital with palpitations. An electrocardiogram (ECG) showed T-wave inversion in V5-V6, with initial troponin levels mildly elevated. Acute coronary syndrome was ruled out by serial ECGs that were unchanged, and troponins downtrended. TTE showed a rare and incidental finding of type A QAV with four equal cusps with mild aortic regurgitation.
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Khatun et al. (2023) studied this question.
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