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      Surgical Repair of a Quadricuspid Aortic Valve With Severe Regurgitation Utilizing “Tricuspidization” and Annular Banding: A Case and Technique Details Report

      case-report

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          Abstract

          The quadricuspid aortic valve (QAV) is a rare congenital disease with a prevalence of 0. 013–0.043% of cardiac cases. Most patients with QAV are treated with aortic valve replacement. A Type B QAV with dilated ascending aorta of 47.9 mm; combined with severe regurgitation is reported here. In this case, considering the patient‘s cusps are flexible and reservable, the aortic root was reconstructed utilizing tricuspidization and annular banding technique, and dilated ascending aorta was replaced at the same time.

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          Most cited references9

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          Quadricuspid semilunar valve.

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            Incidence, description and functional assessment of isolated quadricuspid aortic valves.

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              Outcomes after repair or replacement of dysfunctional quadricuspid aortic valve

              Quadricuspid aortic valve (QAV) morphology is rare (0.008%) but often dysfunctional, manifesting early or late in life. No large series have been evaluated. Current objectives are to characterize these patients, and assess repair possibilities and outcomes.
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                Author and article information

                Contributors
                Journal
                Front Cardiovasc Med
                Front Cardiovasc Med
                Front. Cardiovasc. Med.
                Frontiers in Cardiovascular Medicine
                Frontiers Media S.A.
                2297-055X
                03 May 2022
                2022
                : 9
                : 871818
                Affiliations
                Department of Cardiac Surgery, The First Hospital of China Medical University , Shenyang, China
                Author notes

                Edited by: Cuntao Yu, Chinese Academy of Medical Sciences and Peking Union Medical College, China

                Reviewed by: Shintaro Katahira, School of Medicine, Tohoku University, Japan; Vladimir Uspenskiy, Almazov National Medical Research Centre, Russia; Payam Akhyari, Heinrich Heine University of Düsseldorf, Germany

                *Correspondence: Tianxiang Gu sey2004@ 123456sina.com

                This article was submitted to Heart Valve Disease, a section of the journal Frontiers in Cardiovascular Medicine

                Article
                10.3389/fcvm.2022.871818
                9110680
                0cb0f790-da72-480a-9b1e-44873a75e141
                Copyright © 2022 Yu, Huang, Ding, Shi and Gu.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 08 February 2022
                : 04 April 2022
                Page count
                Figures: 3, Tables: 0, Equations: 0, References: 9, Pages: 4, Words: 1742
                Categories
                Cardiovascular Medicine
                Case Report

                quadricuspid aortic valve (qav),aortic valve replacement (avr),aortic valve repair (av repair),root banding,heart failiure

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