Quadricuspid Aortic Valve As Cause Of Congestive Cardiac Failure - Case History

Abstract

INTRODUCTION:
A case of Quadricuspid Aortic Valve presenting with congestive Cardiac failure was operated and Aortic Valve replacement was done. Aortic Valve was found to be Quadricuspid. Whereas Bicuspid Aortic Valve is primarily stenotic, Quadricuspid Valve is prim anly incompetent.

DISCUSSION:

Abnormally of semilunar valves is one of the common congenital cardiac abnormalities. Most well known of these is Bicuspid Aortic valve’. Aortic valve may be unicuspid or quadricuspid also2. Same abnormalities may affect the pulmonary valve3. Whereas morphological abnormalities of pulmonary valve are not usually accompanied by deranged function same is not true of Aortic valve. Bicuspid Aortic valve is stenotic and becomes more so with passage of time. On the other hand Quadricuspid Aortic valve is primarily incompetent and later may become stenotic also4.The normally functioning pulmonary quadricusp id valve is not prone to greater incidence of Endocarditis. However quadricuspid Aortic valve is prone to Endocarditis as well as Rheumatic process’.