A quadricuspid aortic valve is an exceedingly rare congenital heart anomaly with around 200 cases reported in the literature since the first case was reported in 1862.
Today’s patient had a quadricusp aortic valve associated with moderate aortic stenosis and severe aortic insufficiency, combined with severe mitral stenosis —likely the first documented combination, requiring urgent surgery for acute on chronic combined systolic and diastolic heart failure due to complex valvular heart disease.
The patient underwent a double valve replacement using the Edwards Inspiris Bovine Aortic and Edwards Mitris Bovine Mitral Bioprosthetic Valves. The patient was extubated post-operatively, hemodynamically stable, with normal sinus rhythm.
Recent Posts
Should We Be Afraid of AI?
Should we be afraid of AI? Dr. Scott Silverstein, a pioneer in medical informatics, shares why human judgment, experience, and responsible innovation matter more than ever.
Extraordinary Care Around the Clock
While most of us are sleeping, the cardiac surgery night crew at Jefferson Einstein Montgomery Hospital is working tirelessly to keep patients safe, supported, and cared for. Their dedication, compassion, and teamwork make extraordinary care possible around the clock.
Not Every Patient With Aortic Stenosis Is Best Served by the Least Invasive Approach
Not every patient with aortic stenosis is best served by the least invasive approach. For this 68-year-old patient, severe aortic stenosis and critical coronary artery disease made surgical valve replacement and CABG the right choice.
When the Right Heart Valve Changes: A Fourth Operation After 14 Years
A patient’s remarkable valve history led to a fourth open-heart operation, not because her mechanical valve failed, but because her medical circumstances changed.
Sleep Apnea and Your Heart: Why Your Sleep Matters
Sleep apnea isn’t just about snoring or feeling tired. Untreated sleep apnea can put stress on the cardiovascular system, making sleep an important part of taking care of your heart.
Congratulations to Anastasia Arce, PA-C, on the APC Excellence Award
Congratulations to Anastasia Arce, PA-C, on receiving the Jefferson Health APC Excellence Award. Anastasia is an invaluable member of our Cardiac Surgery team, and this recognition is so well deserved.
Featured
Pages
- Learn about heart valves. Heart Valves
- Read testimonials. Testimonials
- Did you know I have a consulting firm? Singer Heart/Lung Consulting
- Check out my TedTalk! Defining Success
Links
- Links page with more information about your heart. Links
- Dr. Adam Pick's Site: heart-valve-surgery.com







