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Paul A. Pirundini
Jorge M. Balaguer
Lawrence H. Cohn
Robert J. Rizzo
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Ann Thorac Surg 2006;81:2306-2308
© 2006 The Society of Thoracic Surgeons

Case report

Replacement of the Quadricuspid Aortic Valve: Strategy to Avoid Complete Heart Block

Paul A. Pirundini, MD * , Jorge M. Balaguer, MD, Kevin J. Lilly, CCP, William Brian Gorsuch, PA, Margaret Byrne Taft, MS, Lawrence H. Cohn, MD, Robert J. Rizzo, MD

Brigham and Women's Hospital/Cape Cod Hospital, Division of Cardiac Surgery, Hyannis, Massachusetts

Accepted for publication August 23, 2005.

* Address correspondence to Dr Pirundini, 40 Quinlan Way, Suite 204, Hyannis, MA 02601 (Email: ppirundini{at}capecodhealth.org).

Quadricuspid aortic valves are rarely encountered by the cardiac surgeon during aortic valve replacement. The most common location for the supranumerary cusp is between the noncoronary and the right coronary cusp, located over the membranous septum, which can potentially increase the risk of complete heart block after valve replacement. We present three quadricuspid aortic valve replacements, one of which was complicated by complete heart block postoperatively. We suggest a strategy to possibly avoid this complication.




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 Ann. Thorac. Surg.Home page
P. A. Pirundini, K. J. Lilly, and R. J. Rizzo
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Ann. Thorac. Surg., April 1, 2007; 83(4): 1581 - 1581.
[Full Text] [PDF]


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