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A 47-year-old woman presented with a 6-month history of left-sided chest pain and minimal dyspnea on exertion. On physical examination, her blood pressure was 120/60 mm Hg and a diastolic murmur of grade 2/6 to 3/6 was heard at the left sternal border. The results of electrocardiography were normal. Echocardiography showed a quadricuspid aortic valve with four slightly calcified and thickened cusps of equal size (arrows, Panel A in systole and Panel B in diastole; for comparison, a normal tricuspid aortic valve is shown, Panel C in systole and Panel D in diastole). This malformation was associated with moderate-to-severe aortic . . . [Full Text of this Article] |
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