Key result
Conservative management with enalapril maintained hemodynamic stability without worsening of echocardiographic parameters over 3 years in a patient with quadricuspid aortic valve and moderate aortic regurgitation.
Case Report (n=1)
No
A rare case of quadricuspid aortic valve with moderate aortic regurgitation can be successfully managed conservatively with close clinical follow-up if the patient is asymptomatic and lacks left ventricular dysfunction.
Raises awareness for late-detected quadricuspid aortic valve; leaves open optimal management strategies pending larger cohorts.
Background: Congenital heart defect exists from birth but is usually detected in a later stage of life, as in case of quadricuspid aortic valve. A great majority of quadricuspid aortic valves do not have a normal function and often necessitate surgical treatment. Aim: To report a case with quadricuspid aortic valve accompanied with complications. Case Presentation: We present a case of a male detected with quadricuspid aortic valve of four equal sized cusps accompanied by abnormalities, yet managed successfully under conservative treatment. Conclusion: Patients with a quadricuspid aortic valve require careful clinical evaluation and close follow up.
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Otikunta et al. (2016) conducted a case report in Quadricuspid Aortic Valve with Aortic Regurgitation (n=1). Enalapril was evaluated on Hemodynamic stability and echocardiographic parameters. Conservative management with enalapril maintained hemodynamic stability without worsening of echocardiographic parameters over 3 years in a patient with quadricuspid aortic valve and moderate aortic regurgitation.
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