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Year : 2019  |  Volume : 29  |  Issue : 3  |  Page : 119-122

From bicuspid to quadricuspid aortic valve: The clinical case of a 38-year-old woman with chest pain

1 Department of Cardiology, San Giovanni Di Dio Hospital, Gorizia, Italy
2 Department of Neurobiology, Aging Research Center, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden
3 Department of Cardiology, San Giovanni Di Dio Hospital, Gorizia - San Polo Hospital, Monfalcone, Italy

Correspondence Address:
Paolo Diego L'Angiocola
Department of Cardiology, San Giovanni Di Dio Hospital, Via Fatebenefratelli, 34, 34170 Gorizia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jcecho.jcecho_21_19

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We report a case of a 38-year-old woman with an alleged diagnosis of bicuspid aortic valve disease that was correctly identified as quadricuspid aortic valve (QAV) disease in our cardiology unit. In this case report, we focus on echocardiographic features of this rare congenital valve disease aiming to provide useful tips to achieve correct differential diagnosis according to the updated echocardiographic international guidelines and recommendations, briefly reviewing other QAV cases reported in the current literature as well. In conclusion, we strongly recommend adhering to practical echocardiographic guidelines to reduce interobserver variability, not to miss the diagnosis of rare congenital defects like the one we reported.

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