Tricuspidization of quadricuspid aortic valve.

A 65-year-old woman presented with New York Heart Association class II-III symptoms, no overt signs of heart failure, and echocardiographic findings of a quadricuspid aortic valve, Hurwitz type C, with severe aortic regurgitation, dilated left ventricle (7 cm), and moderate left ventricular dysfunction (45%). She subsequently underwent tricuspidization of the valve at the level of the abnormal commissure with subcommissural annuloplasty. At her 6-week follow-up visit, the patient was in New York Heart Association class I, with reduction of left ventricular diastolic dimensions, trace aortic regurgitation, and good mobility of the leaflets.