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Case Reports
. 2021 Sep 29;2021(9):rjab427.
doi: 10.1093/jscr/rjab427. eCollection 2021 Sep.

Surgical repair of severely incompetent quadricuspid truncal valve

Rodrigo Sandoval Boburg  1 , Migdat Mustafi  1 , Michael Hofbeck  2 , Christian Schlensak  1
Affiliations
Case Reports

Surgical repair of severely incompetent quadricuspid truncal valve

Rodrigo Sandoval Boburg et al. J Surg Case Rep. .

Abstract

The surgical management of truncus arteriosus poses a constant challenge for the cardiac team treating the patient. A correct diagnosis, surgical therapy and post-operative management are crucial for the survival of the patient. Almost 30% of the patients show an abnormal number of leaflets in the truncal valve (TV), the majority being quadricuspid valves. Additionally, around 25% of the patients show some degree of TV incompetence. We demonstrate an effective way to reconstruct incompetent, quadricuspid valves with good post-operative outcome.

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Figures

Figure 1
Figure 1
Color Doppler echocardiography in the parasternal long axis view shows severe TV regurgitation. RV: right ventricle, LV: left ventricle, TA: truncus arteriosus.
Figure 2
Figure 2
TV reconstruction. (A) Leaflet identification. (B and C) Leaflet resection. (D) Local annuloplasty and aortic valve suture.
Figure 3
Figure 3
Post-operative color Doppler echocardiography (parasternal long axis view) reveals a competent TV with just a minor trace of central regurgitation. Ao: Aorta, LV: left ventricle, TA: truncus arteriosus.
See this image and copyright information in PMC

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