Moskva, Netherlands
The paper presents a clinical case of abnormality of the structure of the aortic valve. Congenital defects of the valve structures are widespread among the population of Russia. A four-cusped aortic valve is a rare defeat of the valve structure, which occurs during embryogenesis. Most cases are encountered incidentally during aortic valve surgery or autopsy. This state frequently progresses to aortic regurgitation, which can manifest in adulthood and requires surgical treatment. Sometimes, this abnormality can be associated with other malformations, the most common - with coronary artery abnormality. There are no gender differences in the detection of this disease. It should be noted that the identification of this disease can be in various age groups. It was found that in 25% of patients for a long time, this abnormality is asymptomatic. Clinical manifestations begin to appear in middle age and in 70 years a distinct clinical picture seen in almost 75% of patients with an abnormality of the valve. This article describes a clinical case in young man. The authors present the possibilities of diagnosis and strategy of treatment.
heart defect, aortic valve, four-cusped aortic valve.
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