Quadricuspid Aortic Valve: An Incidental Finding.<\/strong><\/h2>\n[\/et_pb_text][et_pb_text _builder_version=\u00bb4.27.5″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Abstract<\/h3>\n
Introduction: Quadricuspid aortic valve is a rare congenital valvular heart defect; its diagnosis has increased in recent decades thanks to advances in ultrasound imaging.
The average age of detection is between 43 and 55 years, and it may be associated with other congenital anomalies.
The main complication is aortic regurgitation, followed in frequency by aortic stenosis.
Surgery is required if the valve becomes hemodynamically compromised during its progression; otherwise, a conservative approach is considered.
Objective: To report an incidental finding of a rare pathology such as the quadricuspid aortic valve, and to provide an update on the topic.
Clinical Case: A 32-year-old patient attended for a medical follow-up with a history of \u00abaortic valve regurgitation.\u00bb The electrocardiogram showed a mild QT interval prolongation, and the echocardiogram incidentally revealed an aortic valve with four cusps (Hurwitz and Roberts type A, Nakamura type 1) with mild regurgitation and no evidence of abnormal coronary pathways. A conservative approach with annual clinical follow-up was chosen.
Discussion: Quadricuspid aortic valve is a rare condition, its finding is incidental, and its main complication is aortic insufficiency. Treatment is surgical only when hemodynamic complications are present. In this patient, it was an incidental finding; no other congenital anomalies were detected. According to the literature, there is no association between prolonged QT interval and quadricuspid aortic valve. A multislice computed tomography scan was requested to identify possible coronary malformations.
Conclusion: Quadricuspid aortic valve has a very low prevalence and is underdiagnosed at early ages. Its diagnosis is made through transthoracic echocardiography. In our case, it was detected incidentally in a 32-year-old patient without complications, so annual echocardiographic follow-up was decided after performing a multislice computed tomography scan.<\/p>\n
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Keywords<\/h3>\n
Quadricuspid aortic valve, congenital heart disease, aortic insufficiency, color Doppler echocardiogram<\/p>\n
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Introducci\u00f3n<\/h3>\n
La v\u00e1lvula a\u00f3rtica cuadric\u00faspide (VAC) es una infrecuente anomal\u00eda cong\u00e9nita caracterizada por la presencia de 4 c\u00faspides en la v\u00e1lvula a\u00f3rtica, cuyo diagn\u00f3stico se increment\u00f3 en las \u00faltimas d\u00e9cadas gracias a los avances en las t\u00e9cnicas de im\u00e1genes ultras\u00f3nicas.1<\/sup>
Algunos pacientes presentan alteraciones cong\u00e9nitas asociadas, la m\u00e1s frecuente es la anomal\u00eda de las arterias coronarias.2<\/sup>
Aun no se conocen asociaciones familiares.3<\/sup>
Su principal complicaci\u00f3n es la insuficiencia a\u00f3rtica por una inadecuada coaptaci\u00f3n de sus hojas en di\u00e1stole seguido de estenosis valvular por fibrosis.
El diagn\u00f3stico se realiza entre los 43 y 55 a\u00f1os edad en la cual comienzan las complicaciones; no obstante, la mayor\u00eda permanece asintom\u00e1tica y su diagn\u00f3stico es casual.
El tratamiento se considera cuando existen complicaciones significativas y la t\u00e9cnica de elecci\u00f3n es el reemplazo valvular a\u00f3rtico ya que la anatom\u00eda de los velos dificulta la cirug\u00eda conservadora, en caso de optar por esta \u00faltima, la t\u00e9cnica recomendada es la tricuspidizaci\u00f3n.
La importancia del diagn\u00f3stico precoz de esta entidad radica en realizar un tratamiento m\u00e9dico \u00f3ptimo e indicar un tratamiento quir\u00fargico oportuno.4<\/sup>
En el presente caso se diagnostic\u00f3 una VAC en una paciente de 32 a\u00f1os, asintom\u00e1tica, que en una evaluaci\u00f3n predeportiva refer\u00eda el antecedente de insuficiencia valvular a\u00f3rtica.<\/p>\n[\/et_pb_text][et_pb_text _builder_version=\u00bb4.27.5″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Objetivos<\/h3>\n
Nuestro objetivo es presentar un caso de v\u00e1lvula a\u00f3rtica cuadricuspide (patolog\u00eda muy poco frecuente) diagnosticado en forma casual en nuestra instituci\u00f3n y actualizar bibliogr\u00e1ficamente el tema.<\/p>\n
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Presentaci\u00f3n del caso<\/h3>\n
Paciente de 32 a\u00f1os de sexo femenino sin antecedentes prenatales, asintom\u00e1tica, que consult\u00f3 al servicio para realizar examen de aptitud deportiva de alto rendimiento. Refiri\u00f3 antecedente de insuficiencia valvular a\u00f3rtica.
Al examen f\u00edsico no se detect\u00f3 ning\u00fan signo cl\u00ednico de anormalidad. Se realiz\u00f3 electrocardiograma donde se evidenci\u00f3 el intervalo QT levemente prolongado y el ecocardiograma detect\u00f3 una v\u00e1lvula a\u00f3rtica con cuatro c\u00faspides sim\u00e9tricas de igual tama\u00f1o con bordes levemente engrosados y excursi\u00f3n conservada, regurgitaci\u00f3n de origen y recorrido central de grado leve y aorta ascendente normal sin evidencia de recorridos coronarios an\u00f3malos.
El servicio de electrofisiolog\u00eda sugiri\u00f3 conducta expectante evitando f\u00e1rmacos que potencialmente prolonguen el intervalo QT y la realizaci\u00f3n de una tomograf\u00eda computarizada (TAC) para la identificaci\u00f3n de recorridos coronarios an\u00f3malos. (Figuras 1, 2, 3, 4 y 5)<\/p>\n
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Discusi\u00f3n<\/h3>\n
La VAC es una cardiopat\u00eda cong\u00e9nita infrecuente, su incidencia es de 0,008 % a 0,043 % de todas las cardiopat\u00edas cong\u00e9nitas y menor al 0,0065 % de los hallazgos ecocardiogr\u00e1ficos. Ratio sexo masculino\/femenino 1,6\/1.4<\/sup>
Puede asociarse a estenosis suba\u00f3rtica, comunicaci\u00f3n interauricular, interventricular, persistencia del conducto arterioso, dilataci\u00f3n a\u00f3rtica, miocardiopat\u00eda hipertr\u00f3fica, anomal\u00edas de la v\u00e1lvula mitral, v\u00e1lvula pulmonar cuadric\u00faspide, transposici\u00f3n de las grandes arterias y anormal origen y recorrido coronario (10 % de las anomal\u00edas asociadas).3,5<\/sup>
En las \u00faltimas d\u00e9cadas, la optimizaci\u00f3n de las im\u00e1genes ultras\u00f3nicas transtor\u00e1cicas con distintas arm\u00f3nicas han mejorado la visualizaci\u00f3n de la anatom\u00eda valvular en ventas sub\u00f3ptimas.
La mayor\u00eda de los casos se identifican a partir de la cuarta d\u00e9cada de vida cuando son sintom\u00e1ticos por complicaciones. La mayor\u00eda permanecen asintom\u00e1ticos a lo largo de su vida; sin embargo, algunos pueden presentar insuficiencia valvular a\u00f3rtica debido a una inadecuada coaptaci\u00f3n de las hojas valvares durante la di\u00e1stole o estenosis de la misma debido a fibrosis evolutiva.
Su origen se da durante la embriog\u00e9nesis cuando se desarrolla una variante supernumeraria en el brote mesenquimatoso a\u00f3rtico produciendo una proliferaci\u00f3n anormal de las valvas que pueden adoptar distintos fenotipos.4<\/sup>
Hurwitz y Roberts describen 7 tipos:
A) cuatro velos iguales
B) tres velos iguales y uno desigual
C) dos velos grandes e iguales y dos peque\u00f1os e iguales
D) un velo grande, dos intermedios y uno peque\u00f1o
E) un velo grande y tres m\u00e1s peque\u00f1os e iguales
F) dos velos grandes e iguales y dos peque\u00f1os y desiguales
G) cuatro velos desiguales.
Simplificadamente, Nakamura et al, dividen en cuatro las variantes seg\u00fan la ubicaci\u00f3n del velo supernumerario:
I) Entre la valva coronariana izquierda y la valva coronariana derecha
II) Entre la valva coronariana derecha y la no coronariana
III) Entre la valva no coronaria y la valva coronariana izquierda
IV) Cuando no se puede identificar debido al tama\u00f1o similar entre dos c\u00faspides.6<\/sup>
No se encontr\u00f3 asociaci\u00f3n con intervalo QT prolongado.
El tratamiento es quir\u00fargico y generalmente con reemplazo valvular en los casos con disfunci\u00f3n valvular sintom\u00e1tica.
El presente caso cl\u00ednico corresponde morfol\u00f3gicamente a una VAC tipo 1 seg\u00fan Nakamura o tipo A seg\u00fan Hurwitz y Roberts en una paciente de sexo femenino de 32 a\u00f1os de edad con regurgitaci\u00f3n de localizaci\u00f3n central grado leve y apertura conservada sin identificar otras anormalidades por ultrasonido. Actualmente se encuentra pendiente la realizaci\u00f3n de TAC multicorte para identificar patolog\u00eda coronaria.<\/p>\n[\/et_pb_text][et_pb_text _builder_version=\u00bb4.27.5″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Conclusiones<\/h3>\n
Detectar una VAC es un hecho casi infrecuente ya que la prevalencia de la misma es muy baja y la mayor\u00eda de los pacientes suelen encontrarse asintom\u00e1ticos.
En el presente caso se detect\u00f3 de forma incidental una VAC (tipo 1 seg\u00fan la clasificaci\u00f3n de Nakamura o tipo A seg\u00fan la clasificaci\u00f3n de Hurwitz y Roberts) con regurgitaci\u00f3n grado leve en una paciente asintom\u00e1tica con leve prolongaci\u00f3n del intervalo QT. Se solicit\u00f3 TAC multicorte para descartar de forma definitiva la presencia de trayectos coronarios an\u00f3malos.<\/p>\n
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Conflicto de intereses<\/h3>\n
Los autores declaran no tener conflicto de intereses.<\/p>\n
[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00bb1″ admin_label=\u00bbTablas\u00bb _builder_version=\u00bb4.16″ custom_padding=\u00bb1px|0px|62px|0px|false|false\u00bb locked=\u00bboff\u00bb collapsed=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_row custom_padding_last_edited=\u00bbon|phone\u00bb _builder_version=\u00bb4.16″ background_color=\u00bb#ffffff\u00bb max_width=\u00bb1280px\u00bb custom_padding=\u00bb12px|40px|12px|40px|true|false\u00bb custom_padding_tablet=\u00bb\u00bb custom_padding_phone=\u00bb|20px||20px||true\u00bb animation_style=\u00bbzoom\u00bb animation_intensity_zoom=\u00bb2%\u00bb border_radii=\u00bbon|12px|12px|12px|12px\u00bb box_shadow_style=\u00bbpreset1″ box_shadow_vertical=\u00bb50px\u00bb box_shadow_blur=\u00bb80px\u00bb box_shadow_color=\u00bbrgba(15,19,25,0.1)\u00bb use_custom_width=\u00bbon\u00bb custom_width_px=\u00bb1280px\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4″ _builder_version=\u00bb4.16″ custom_padding=\u00bb|||\u00bb global_colors_info=\u00bb{}\u00bb custom_padding__hover=\u00bb|||\u00bb][et_pb_text _builder_version=\u00bb4.27.5″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Figura 1: Vista paraesternal en eje corto de v\u00e1lvula a\u00f3rtica en protos\u00edstole<\/strong><\/p>\n[\/et_pb_text][et_pb_image src=\u00bbhttps:\/\/villavicencio.org.ar\/anuario\/wp-content\/uploads\/2026\/02\/valvula-aortica-cuadricuspide1.jpg\u00bb title_text=\u00bbvalvula-aortica-cuadricuspide1″ align=\u00bbcenter\u00bb _builder_version=\u00bb4.27.5″ _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row custom_padding_last_edited=\u00bbon|phone\u00bb _builder_version=\u00bb4.16″ background_color=\u00bb#ffffff\u00bb max_width=\u00bb1280px\u00bb custom_padding=\u00bb14px|40px|14px|40px|true|false\u00bb custom_padding_tablet=\u00bb\u00bb custom_padding_phone=\u00bb|20px||20px||true\u00bb animation_style=\u00bbzoom\u00bb animation_intensity_zoom=\u00bb2%\u00bb border_radii=\u00bbon|12px|12px|12px|12px\u00bb box_shadow_style=\u00bbpreset1″ box_shadow_vertical=\u00bb50px\u00bb box_shadow_blur=\u00bb80px\u00bb box_shadow_color=\u00bbrgba(15,19,25,0.1)\u00bb use_custom_width=\u00bbon\u00bb custom_width_px=\u00bb1280px\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4″ _builder_version=\u00bb4.16″ custom_padding=\u00bb|||\u00bb global_colors_info=\u00bb{}\u00bb custom_padding__hover=\u00bb|||\u00bb][et_pb_text _builder_version=\u00bb4.27.5″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Figura 2: Vista paraesternal en eje corto de v\u00e1lvula a\u00f3rtica en proto mesos\u00edstole<\/strong>
<\/strong><\/p>\n<\/strong><\/p>\n
[\/et_pb_text][et_pb_image src=\u00bbhttps:\/\/villavicencio.org.ar\/anuario\/wp-content\/uploads\/2026\/02\/valvula-aortica-cuadricuspide2.jpg\u00bb title_text=\u00bbvalvula-aortica-cuadricuspide2″ align=\u00bbcenter\u00bb _builder_version=\u00bb4.27.5″ _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row custom_padding_last_edited=\u00bbon|phone\u00bb _builder_version=\u00bb4.16″ background_color=\u00bb#ffffff\u00bb max_width=\u00bb1280px\u00bb custom_padding=\u00bb12px|40px|12px|40px|true|false\u00bb custom_padding_tablet=\u00bb\u00bb custom_padding_phone=\u00bb|20px||20px||true\u00bb animation_style=\u00bbzoom\u00bb animation_intensity_zoom=\u00bb2%\u00bb border_radii=\u00bbon|12px|12px|12px|12px\u00bb box_shadow_style=\u00bbpreset1″ box_shadow_vertical=\u00bb50px\u00bb box_shadow_blur=\u00bb80px\u00bb box_shadow_color=\u00bbrgba(15,19,25,0.1)\u00bb use_custom_width=\u00bbon\u00bb custom_width_px=\u00bb1280px\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4″ _builder_version=\u00bb4.16″ custom_padding=\u00bb|||\u00bb global_colors_info=\u00bb{}\u00bb custom_padding__hover=\u00bb|||\u00bb][et_pb_text _builder_version=\u00bb4.27.5″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Figura 3: Vista paraesternal en eje corto de v\u00e1lvula a\u00f3rtica en mesos\u00edstole<\/strong>
<\/strong><\/p>\n[\/et_pb_text][et_pb_image src=\u00bbhttps:\/\/villavicencio.org.ar\/anuario\/wp-content\/uploads\/2026\/02\/valvula-aortica-cuadricuspide3.jpg\u00bb title_text=\u00bbvalvula-aortica-cuadricuspide3″ align=\u00bbcenter\u00bb _builder_version=\u00bb4.27.5″ _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row custom_padding_last_edited=\u00bbon|phone\u00bb _builder_version=\u00bb4.16″ background_color=\u00bb#ffffff\u00bb max_width=\u00bb1280px\u00bb custom_padding=\u00bb12px|40px|12px|40px|true|false\u00bb custom_padding_tablet=\u00bb\u00bb custom_padding_phone=\u00bb|20px||20px||true\u00bb animation_style=\u00bbzoom\u00bb animation_intensity_zoom=\u00bb2%\u00bb border_radii=\u00bbon|12px|12px|12px|12px\u00bb box_shadow_style=\u00bbpreset1″ box_shadow_vertical=\u00bb50px\u00bb box_shadow_blur=\u00bb80px\u00bb box_shadow_color=\u00bbrgba(15,19,25,0.1)\u00bb use_custom_width=\u00bbon\u00bb custom_width_px=\u00bb1280px\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4″ _builder_version=\u00bb4.16″ custom_padding=\u00bb|||\u00bb global_colors_info=\u00bb{}\u00bb custom_padding__hover=\u00bb|||\u00bb][et_pb_text _builder_version=\u00bb4.27.5″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Figura 4: Vista paraesternal en eje corto de v\u00e1lvula a\u00f3rtica en mesodi\u00e1stole<\/strong><\/p>\n[\/et_pb_text][et_pb_image src=\u00bbhttps:\/\/villavicencio.org.ar\/anuario\/wp-content\/uploads\/2026\/02\/valvula-aortica-cuadricuspide4.jpg\u00bb title_text=\u00bbvalvula-aortica-cuadricuspide4″ align=\u00bbcenter\u00bb _builder_version=\u00bb4.27.5″ _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row custom_padding_last_edited=\u00bbon|phone\u00bb _builder_version=\u00bb4.16″ background_color=\u00bb#ffffff\u00bb max_width=\u00bb1280px\u00bb custom_padding=\u00bb12px|40px|12px|40px|true|false\u00bb custom_padding_tablet=\u00bb\u00bb custom_padding_phone=\u00bb|20px||20px||true\u00bb animation_style=\u00bbzoom\u00bb animation_intensity_zoom=\u00bb2%\u00bb border_radii=\u00bbon|12px|12px|12px|12px\u00bb box_shadow_style=\u00bbpreset1″ box_shadow_vertical=\u00bb50px\u00bb box_shadow_blur=\u00bb80px\u00bb box_shadow_color=\u00bbrgba(15,19,25,0.1)\u00bb use_custom_width=\u00bbon\u00bb custom_width_px=\u00bb1280px\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4″ _builder_version=\u00bb4.16″ custom_padding=\u00bb|||\u00bb global_colors_info=\u00bb{}\u00bb custom_padding__hover=\u00bb|||\u00bb][et_pb_text _builder_version=\u00bb4.27.5″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb]<\/p>\n
Figura 5: Regurgitaci\u00f3n valvular a\u00f3rtica con flujo de regurgitaci\u00f3n central grado leve<\/strong><\/p>\n[\/et_pb_text][et_pb_image src=\u00bbhttps:\/\/villavicencio.org.ar\/anuario\/wp-content\/uploads\/2026\/02\/valvula-aortica-cuadricuspide5.jpg\u00bb title_text=\u00bbvalvula-aortica-cuadricuspide5″ align=\u00bbcenter\u00bb _builder_version=\u00bb4.27.5″ _module_preset=\u00bbdefault\u00bb global_colors_info=\u00bb{}\u00bb][\/et_pb_image][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\u00bb1″ admin_label=\u00bbCourses\u00bb _builder_version=\u00bb4.16″ custom_padding=\u00bb1px|0px|62px|0px|false|false\u00bb collapsed=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_row custom_padding_last_edited=\u00bbon|phone\u00bb _builder_version=\u00bb4.27.5″ background_color=\u00bb#ffffff\u00bb max_width=\u00bb1280px\u00bb custom_padding=\u00bb12px|40px|12px|40px|true|false\u00bb custom_padding_tablet=\u00bb\u00bb custom_padding_phone=\u00bb|20px||20px||true\u00bb animation_style=\u00bbzoom\u00bb animation_intensity_zoom=\u00bb2%\u00bb border_radii=\u00bbon|12px|12px|12px|12px\u00bb box_shadow_style=\u00bbpreset1″ box_shadow_vertical=\u00bb50px\u00bb box_shadow_blur=\u00bb80px\u00bb box_shadow_color=\u00bbrgba(15,19,25,0.1)\u00bb use_custom_width=\u00bbon\u00bb custom_width_px=\u00bb1280px\u00bb global_colors_info=\u00bb{}\u00bb][et_pb_column type=\u00bb4_4″ _builder_version=\u00bb4.16″ custom_padding=\u00bb|||\u00bb global_colors_info=\u00bb{}\u00bb custom_padding__hover=\u00bb|||\u00bb][et_pb_text _builder_version=\u00bb4.27.5″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb12px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb locked=\u00bboff\u00bb global_colors_info=\u00bb{}\u00bb] 1.\tAmaya S, Andrade Fierro D, Orozco AC, y col. V\u00e1lvula a\u00f3rtica cuadric\u00faspide. Enfoque ecocardiogr\u00e1fico intraoperatorio. Rev Chil Anest. 2021;50:898-901. Disponible en: https:\/\/revistachilenadeanestesia.cl\/revchilanestv5007101213\/
\n 2.\tCourtis J, S\u00e1nchez A. Un tr\u00e9bol de cuatro hojas, V\u00e1lvula a\u00f3rtica cuadric\u00faspide. Caso cl\u00ednico y revisi\u00f3n de la literatura. Rev Fed Argent Cardiol. 2024;53:177-180. Disponible en: https:\/\/revistafac.org.ar\/ojs\/index.php\/revistafac\/article\/view\/570
\n 3.\tNovoa V, Mart\u00ednez A, Souaf S, y col. V\u00e1lvula a\u00f3rtica cuadric\u00faspide. Presentaci\u00f3n de dos casos. Cirug\u00eda Cardiovascular. 2022;29:244-248. Disponible en: https:\/\/www.elsevier.es\/es-revista-cirugia-cardiovascular-358-articulo-valvula-aortica-cuadricuspide-presentacion-dos-S1134009622000122
\n 4.\tGuti\u00e9rrez G, Guti\u00e9rrez F, Bastianelli G, y col. V\u00e1lvula a\u00f3rtica cuadric\u00faspide en paciente adulto: una rara etiolog\u00eda de insuficiencia valvular a\u00f3rtica. Rev Fed Argent Cardiol. 2021;50:3-5. Disponible en: https:\/\/revistafac.org.ar\/ojs\/index.php\/revistafac\/article\/view\/209
\n 5.\tGouveia S, Ferreira Martins JD, Costa G, et al. Quadricuspid aortic valve -10-year case series and literature review. Rev Port Cardiol. 2011;30:849-854. Disponible en: https:\/\/www.revportcardiol.org\/en-quadricuspid-aortic-valve-10-year-articulo-S2174204911000055
\n 6.\tPosada-R\u00edos D, Ram\u00edrez-Moreno A, Jaramillo-Gonz\u00e1lez GC, y col. V\u00e1lvula a\u00f3rtica cuadric\u00faspide. Rev. Colomb Cardiol. 2023;30:207-211. Disponible en http:\/\/www.scielo.org.co\/scielo.php?script=sci_arttext&pid=S0120-56332023000300207[\/et_pb_text][et_pb_text _builder_version=\u00bb4.24.2″ text_font=\u00bb||||||||\u00bb text_font_size=\u00bb15px\u00bb text_line_height=\u00bb2em\u00bb header_font=\u00bb||||||||\u00bb header_2_font=\u00bb||||||||\u00bb header_3_font=\u00bbEB Garamond||||||||\u00bb header_3_font_size=\u00bb24px\u00bb header_3_line_height=\u00bb1.4em\u00bb header_4_font=\u00bb|700||on|||||\u00bb header_4_text_color=\u00bb#ffdaa4″ header_4_font_size=\u00bb12px\u00bb header_4_letter_spacing=\u00bb2px\u00bb header_4_line_height=\u00bb2em\u00bb text_line_height_tablet=\u00bb\u00bb text_line_height_phone=\u00bb1.6em\u00bb text_line_height_last_edited=\u00bbon|phone\u00bb global_colors_info=\u00bb{}\u00bb][\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"
La v\u00e1lvula a\u00f3rtica cuadric\u00faspide es una valvulopat\u00eda cong\u00e9nita infrecuente cuyo diagn\u00f3stico se increment\u00f3 en las \u00faltimas d\u00e9cadas gracias a los avances en las im\u00e1genes de ultrasonido.
\nLa edad promedio de su detecci\u00f3n es entre los 43 y 55 a\u00f1os y puede estar asociada a otras anomal\u00edas cong\u00e9nitas.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[47,49],"tags":[48],"class_list":["post-2231","post","type-post","status-publish","format-standard","hentry","category-47","category-a33-presentacion-de-casos-clinicos","tag-anuario-33-2025"],"_links":{"self":[{"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/posts\/2231","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/comments?post=2231"}],"version-history":[{"count":13,"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/posts\/2231\/revisions"}],"predecessor-version":[{"id":2292,"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/posts\/2231\/revisions\/2292"}],"wp:attachment":[{"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/media?parent=2231"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/categories?post=2231"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/villavicencio.org.ar\/anuario\/wp-json\/wp\/v2\/tags?post=2231"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}