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Quadricuspid aortic valve: an unusual cause of aortic regurgitation in rheumatoid arthritis
  1. Jugal Sharma,
  2. Aditya Kapoor,
  3. Sudeep Kumar
  1. Department of Cardiology, Sanjay Gandhi PGIMS, Lucknow, Uttar Pradesh, India
  1. Correspondence to Dr Aditya Kapoor, Department of Cardiology, Sanjay Gandhi PGIMS, Lucknow, UP 226014, India; akapoor65{at}

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A 44-year-old woman with long-standing rheumatoid arthritis presented with exertional breathlessness since the last 3 months; cardiovascular examination revealed a decrescendo diastolic murmur along the left upper sternal border. A transthoracic and transesophageal echocardiogram revealed normal sized left ventricle, normal ventricular systolic function and a quadricuspid aortic valve (QAV) with mild aortic regurgitation (figure 1A,B; supplementary video 1). A 3D echocardiographic reconstruction was performed which clearly …

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