Publish in this journal
Journal Information
Vol. 66. Issue 5.
Pages 401 (May 2013)
Share
Share
Download PDF
More article options
Vol. 66. Issue 5.
Pages 401 (May 2013)
Image in cardiology
DOI: 10.1016/j.rec.2011.06.021
Full text access
Multidetector Computed Tomography Diagnosis of Quadricuspid Pulmonary Valve
Diagnóstico de válvula pulmonar tetracúspide mediante tomografía computarizada multidetector
Visits
...
Jeong Hoon Yanga,b, Seung Woo Parka,b, Yeon Hyeon Choeb,c,??
Corresponding author
yhchoe@skku.edu

Corresponding author:
a Division of Cardiology, Department of Medicine, Cardiac and Vascular Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
b Cardiovascular Imaging Center, Cardiac and Vascular Center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
c Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
This item has received
...
Visits
(Daily data update)
Article information
Full Text
Download PDF
Statistics
Figures (2)
Full Text

A 63-year-old woman visited our clinic with intermittent chest discomfort and palpitation. Her past medical history included well controlled diabetes and dyslipidemia. Physical examination revealed no abnormal findings. Resting electrocardiography showed normal sinus rhythm. The patient had undergone transthoracic echocardiography examinations several times in the past, which only showed aneurysmal changes of the pulmonary trunk. The right ventricle was of normal size with good systolic function and minimal tricuspid regurgitation. Right ventricular systolic pressure was estimated to be 30mmHg. The patient was further evaluated by electrocardiography-gated 128-slice dual-slice computed tomography (CT). The CT angiography revealed an enlarged main pulmonary artery and a quadricuspid pulmonary valve exhibiting 2 equal and 2 smaller cusps unexpectedly on hollow view seen from above (Fig. 1) and these 4 cusps did not close completely during the mid-diastolic phase on the reformatted images at 74% of the RR interval on the electrocardiogram (Fig. 2). Diagnosis of this rare anomaly is very difficult due to the anatomical disposition of the valve with respect to the thoracic wall and a tendency to be clinically quiescent. The incidence of quadricuspid pulmonary valve was 0.2% among donor hearts in the European Homograft bank. We report a case of a quadricuspid pulmonary valve diagnosed by cardiac CT.

(0.16MB).
(0.14MB).

.

Copyright © 2011. Sociedad Española de Cardiología
Idiomas
Revista Española de Cardiología (English Edition)

Subscribe to our newsletter

Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

es en
Política de cookies Cookies policy
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí. To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here.