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(Circulation. 1998;97:113.)
© 1998 American Heart Association, Inc.

Images in Cardiovascular Medicine

Quadricuspid Aortic Valve

Efrain Feliciano, MD; Eric Steinberg, MD; ; Itzhak Kronzon, MD

From the Department of Medicine, Manhattan Veterans Affairs Medical Center (E.F., E.S.), and New York University Medical Center (I.K.), New York, NY.

Correspondence to Itzhak Kronzon, MD, Noninvasive Cardiology Laboratory, NYU Medical Center, 560 First Ave, New York, NY 10016.

After a transient ischemic attack, this 68-year-old patient was referred for transesophageal echocardiography to look for a possible cardiac source of embolization. There were no heart murmurs. Transesophageal echocardiography was unremarkable except for the incidental finding of a quadricuspid aortic valve (Figure). Doppler studies demonstrated minimal aortic regurgitation and no stenosis. There was no evidence of any other congenital anomaly. The pulmonary artery and valve were normal (no truncus arteriosus).

View larger version (41K): [in this window] [in a new window]   Figure 1. Transesophageal echocardiography of aortic valve shows four cusps (1 through 4). A, Diastolic frame; B, systolic frame.

Footnotes

The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St Luke's Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.

Circulation encourages readers to submit cardiovascular images to Dr Hugh McAllister, Jr, St Luke's Episcopal Hospital and Texas Heart Institute, 6720 Bertner, MC-1-267, Houston, TX 77030.