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QUADRICUSPID AORTIC VALVE WITH ABERRANT CORONARY OSTIA - A CASE REPORT

RAMPRASATH MS MRSIDDHAN

Abstract


Quadricuspid aortic valve is an uncommon
congenital cardiac anomaly often
detected incidentally or in association
with other congenital cardiac anomaly.
The incidence is about 0.003 percent in
autopsy studies (1). They may also be
associated with coronary anomalies,
septal defects, patent ductus arteriosus,
mitral or pulmonary valve malformations
and conduction defects (2).If undetected
in childhood, they may progress to aortic
valvular dysfunction later in life, necessitating
valve replacement. Associated
coronary anomalies, if any, may make
prosthetic replacement of the valve challenging.
We herein describe a case of a
quadricuspid aortic valve who presented
with severe aortic regurgitation. She was
detected to have low lying right coronary
ostia, necessitating precautions during
valve replacement.


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