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Case Reports
. 2006 Jun;81(6):2306-8.
doi: 10.1016/j.athoracsur.2005.08.022.

Replacement of the quadricuspid aortic valve: strategy to avoid complete heart block

Paul A Pirundini  1 , Jorge M Balaguer, Kevin J Lilly, William Brian Gorsuch, Margaret Byrne Taft, Lawrence H Cohn, Robert J Rizzo
Affiliations
Case Reports

Replacement of the quadricuspid aortic valve: strategy to avoid complete heart block

Paul A Pirundini et al. Ann Thorac Surg. 2006 Jun.

Abstract

Quadricuspid aortic valves are rarely encountered by the cardiac surgeon during aortic valve replacement. The most common location for the supranumerary cusp is between the noncoronary and the right coronary cusp, located over the membranous septum, which can potentially increase the risk of complete heart block after valve replacement. We present three quadricuspid aortic valve replacements, one of which was complicated by complete heart block postoperatively. We suggest a strategy to possibly avoid this complication.

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  • Surgical pitfalls of the quadricuspid aortic valve.
    Tutarel O, Roentgen P, Westhoff-Bleck M. Tutarel O, et al. Ann Thorac Surg. 2007 Apr;83(4):1581; author reply 1581. doi: 10.1016/j.athoracsur.2006.07.065. Ann Thorac Surg. 2007. PMID: 17383403 No abstract available.

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