Asymptomatic, Incidental Quadricuspid Aortic Valve: A Case Report and Discussion of Management

With its exceeding rarity, there is little research on the quadricuspid aortic valve (QAV) inherently to drive guideline -based management. This leaves physicians without evidence -based guidance on the management of such patients should they come across this finding on imaging or should they care for a symptomatic patient. This article describes the case of an incidentally identified QAV in a patient undergoing treatment for tuberculosis, which seemingly had bicuspid -appearing valve hemodynamics. Additionally, current literature is reviewed to describe classification, presentation, complications, and intervention, with additional exploration and commentary on the lack of guideline -based care.