Transesophageal echocardiogram is the preferred imaging modality for evaluating quadricuspid aortic valves, which are more likely to be dysfunctional in patients over 40.
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May guide age-informed surveillance in quadricuspid aortic valve; leaves open prospective validation in larger cohorts.
•Quadricuspid aortic valve is a rare finding in patients with aortic valvulopathy.•Patients over age 40 with this finding are more likely to have valve dysfunction.•Transesophageal echocardiogram is preferred to evaluate quadricuspid aortic valves.
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Douglas et al. (2020) studied this question.
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