Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 6, 2022; 10(25): 8954-8961
Published online Sep 6, 2022. doi: 10.12998/wjcc.v10.i25.8954
Quadricuspid aortic valve and right ventricular type of myocardial bridging in an asymptomatic middle-aged woman: A case report
Ivana Sopek Merkaš, Nenad Lakušić, Maja Hrabak Paar
Ivana Sopek Merkaš, Nenad Lakušić, Department of Cardiology, Special Hospital for Medical Rehabilitation Krapinske Toplice, Krapinske Toplice 49217, Croatia
Nenad Lakušić, Department of Clinical Medicine, Faculty of Dental Medicine and Health Osijek, Osijek 31000, Croatia
Nenad Lakušić, Department of Internal Medicine, Family Medicine and History of Medicine, Faculty of Medicine Osijek, Osjiek 31000, Croatia
Maja Hrabak Paar, Department of Diagnostic and Interventional Radiology, University Hospital Centre Zagreb, Zagreb 10000, Croatia
Maja Hrabak Paar, School of Medicine, University of Zagreb, Zagreb 10000, Croatia
Author contributions: Sopek Merkaš I and Lakušić N were responsible for the conception and design of the manuscript, literature review, data collection, processing and wrote the first original draft; Lakušić N contributed in making critical revisions related to the important intellectual content of the manuscript; Hrabak Paar M analyzed and interpreted the CT imaging findings, literature review and made critical revisions related to the important intellectual content; All authors issued final approval for the version to be submitted.
Informed consent statement: The authors confirm that written consent for submission and publication of this case report including images and associated text have been obtained from the patient.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Nenad Lakušić, MD, PhD, Associate Professor, Department of Cardiology, Special Hospital for Medical Rehabilitation Krapinske Toplice, Gajeva 2, Krapinske Toplice 49217, Croatia. nenad.lakusic@post.t-com.hr
Received: January 23, 2022
Peer-review started: January 23, 2022
First decision: May 11, 2022
Revised: May 19, 2022
Accepted: July 27, 2022
Article in press: July 27, 2022
Published online: September 6, 2022
Processing time: 214 Days and 18.5 Hours
Core Tip

Core Tip: The recognition of quadricuspid aortic valve (QAV) has clinical significance as it leads to progressive aortic valve dysfunction (aortic regurgitation in the majority), which can be severe enough for surgical correction and can be associated with other congenital heart defects - in our case, right-ventricular type of myocardial bridging at the distal segment of the left anterior descending coronary artery. Therefore, these patients require appropriate diagnosis, careful clinical evaluation and follow-up in order to be properly treated. Cardiac computed tomography, as well as magnetic resonance, is a useful imaging modality for comprehensively assessing of QAV.