Double orifice mitral valve with flail leaflet: a transoesophageal echocardiographic examination

We describe a case of double orifice mitral valve and a flail leaflet in a 54-year-old man. This rare congenital abnormality was disclosed through the discovery of a murmur. The transoesophageal approach clearly showed two approximately equal orifices with multiple papillary muscles. Colour Doppler...

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Bibliographic Details
Published in:European journal of echocardiography 2000-06, Vol.1 (2), p.144-146
Main Authors: Purnode, P, Rombaut, E, Gerard, M, Alkhori, M, Marchandise, B
Format: Article
Language:English
Subjects:
Echocardiography, Transesophageal
Heart Defects, Congenital - diagnostic imaging
Humans
Male
Middle Aged
Mitral Valve - abnormalities
Mitral Valve - diagnostic imaging
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Summary:We describe a case of double orifice mitral valve and a flail leaflet in a 54-year-old man. This rare congenital abnormality was disclosed through the discovery of a murmur. The transoesophageal approach clearly showed two approximately equal orifices with multiple papillary muscles. Colour Doppler echocardiography showed a moderate mitral regurgitation due to the prolapse of the posterior leaflet of the anteromedial orifice. No other abnormality was associated. Transoesophageal echocardiography is useful to analyse as well the anatomy as the functional aspect of the mitral apparatus in this particular case of congenital disease.
ISSN:1525-2167
DOI:10.1053/euje.2000.0015