CASE REPORT
A 13-year-old male patient, applied to pediatric cardiology at the outer
center with chest pain 3 months ago. In transthoracic echocardiography
performed there, 1st degree aortic regurgitation was detected, and
secondary penicillin G prophylaxis was initiated considering the
insidious rheumatic carditis. Laboratory tests performed in the outer
center at that time were normal. The patient applied to our outpatient
clinic for his second control, and he did not have any complaints. An
anamnesis taken by us revealed that there was no history of acute
rheumatic fever (ARF) in any period. The patient’s physical examination
was completely normal. In laboratory examination, hemogram, biochemical
parameters, acute phase reactants and anti-streptolysin O titre were
normal. 12-lead electrocardiogram (ECG) was normal. On transthoracic
echocardiography, the aortic valve was quadriquspid (Figure 1) and there
was a 1st degree aortic regurgitation (Figure 2). The patient was
diagnosed with quatricuspid aortic valve and it was thought that aortic
regurgitation was due to valve anomaly. Secondary penicillin
prophylaxis, which was started for rheumatic carditis in the outer
center, was stopped. The patient was followed up at regular intervals.