Anesthetic Management for Quadricuspid Aortic Valve Repair: Case Report and Literature Review

作     者：Lucia Caroline Schons Correa Erica Mendonca Reiff Carlos Paula Cristina Leitao de Assuncao Jose Eduardo Guimaraes Pereira Carlos Darcy Alves Bersot 

作者机构：Department of AnesthesiologyMedical Sciences College at Hospital Universitario Pedro Ernesto(HUPE)Universidade do Estado do Rio de Janeiro(UERJ)Rio de JaneiroBrazil Department of AnaesthesiologyBotucatu Medical SchoolUniversidade Estadual PaulistaSao PauloBotucatuBrazil 

出 版 物：《Open Journal of Anesthesiology》 (麻醉学期刊（英文）)

年 卷 期：2018年第8卷第5期

页      面：172-182页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Quadricuspid Aortic Valve Anesthetic Management Transesophageal Echocardiography 

摘      要：Quadricuspid aortic valve (QAV) is a rare congenital cardiac anomaly with prevalence less than 0.01% in autopsy series. It can be found as an isolated anomaly, and the patient may be asymptomatic, but is often associated with aortic insufficiency in 68% of the cases. Transthoracic echocardiography (TTE) and transesophageal echocardiography (TEE) are currently used as a diagnostic and follow-up method for this anomaly. The objective of the present paper is through the clinical case report of a 60 year old patient submitted to surgical correction of QAV, to relate some clinical aspects of the disease and to discuss the anesthetic management for this group of patients, in addition, emphasizing the importance and the increasing use of the TEE in the intraoperative period in cardiac surgeries.