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Incidental finding of a double orifice mitral valve in an elderly patient: value of 3D imaging

Echo Research & Practice volume 4, pages K21–K24 (2017)Cite this article

Abstract

A rare isolated double orifice mitral valve (DOMV) was diagnosed in a 77-year-old male patient, being assessed for surgical repair of the ascending aorta. This is a rare congenital abnormality, usually discovered as an incidental finding during investigation of other congenital heart defects. This case shows that a detailed assessment of all cardiac structures is necessary, not only in young patients, but also in the elderly population, to minimise the under-diagnosis of such rare anomalies. The use of 3D transthoracic echocardiography (TTE) has an increasingly significant role in establishing the diagnosis and extending the morphological and functional understanding of the anomaly.

References

  1. Kron J, Standerfer RJ, Starr A 1986 Severe mitral regurgitation in a woman with a double orifice mitral valve. British Heart Journal 55 109–111. (doi:10.1136/hrt.55.1.109)

    Article  CAS  Google Scholar 

  2. Jacob J, Sunil TC, Bobby John 2003 Double-orifice mitral valve. Indian Heart Journal 55 279–280.

    Google Scholar 

  3. Anwar A, McGhie J, Meijboom F, ten Cate F 2008 Double orifice mitral valve by real-time three-dimensional echocardiography. European Journal of Echocardiography 9 731–732. (doi:10.1093/ejechocard/jen149)

    Article  Google Scholar 

  4. McElhinney DB, Sherwood MC, Keane JF, del Nido PJ, Almond CS, Lock JE 2005 Current management of severe congenital mitral stenosis: outcomes of transcatheter and surgical therapy in 108 infants and children. Circulation 112 707–714. (doi:10.1161/CIRCULATIONAHA.104.500207)

    Article  Google Scholar 

  5. Hartas G 2014 Double orifice mitral valve. eMedicine article 897322. (available at: http://emedicine.medscape.com/article/897322-treatment#showall).

    Google Scholar 

  6. Baño-Rodrigo A, Van Praagh S, Trowitzsch E, Van Praagh R 1988 Double-orifice mitral valve: a study of 27 postmortem cases with developmental, diagnostic and surgical considerations. American Journal of Cardiology 61 152–160. (doi:10.1016/0002-9149(88)91322-7)

    Article  Google Scholar 

  7. Bedeir K, Ramlawi B 2016 Is a double orifice valve at an increased risk for endocarditis? European Journal of Cardiothoracic Surgery 50 389. (doi:10.1093/ejcts/ezw046)

    Article  Google Scholar 

  8. Wilson W, Taubert KA, Gewitz M, Lockhart PB, Baddour LM, Levison M, Bolger A, Cabell CH, Takahashi M, Baltimore RS et al. 2007 Prevention of infective endocarditis: guidelines from the American Heart Association: a guideline from the American Heart Association Rheumatic Fever, Endocarditis, and Kawasaki Disease Committee, Council on Cardiovascular Disease in the Young, and the Council on Clinical Cardiology, Council on Cardiovascular Surgery and Anesthesia, and the Quality of Care and Outcomes Research Interdisciplinary Working Group. Circulation 116 1736–1754. (doi:10.1161/CIRCULATIONAHA.106.183095)

    Article  Google Scholar 

  9. Wójcik A, Klisiewicz A, Szymański P, Różański J, Hoffman P 2011 Double-orifice mitral valve–echocardiographic findings. Kardiologia Polska 2 139–143.

    Google Scholar 

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Authors and Affiliations

  1. Department of Echocardiography, London, UK

    Nuno Pires BSc, Wei Li MD PhD FACC FESC & Roxy Senior MD DM FRCP FACC FESC

  2. Cardiovascular Biomedical research Unit, London, UK

    Rajdeep S. Khattar DM FRCP FACC FESC

Authors
  1. Nuno Pires BSc
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  2. Wei Li MD PhD FACC FESC
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  3. Roxy Senior MD DM FRCP FACC FESC
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  4. Rajdeep S. Khattar DM FRCP FACC FESC
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Corresponding author

Correspondence to Rajdeep S. Khattar DM FRCP FACC FESC.

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Pires, N., Li, W., Senior, R. et al. Incidental finding of a double orifice mitral valve in an elderly patient: value of 3D imaging. Echo Res Pract 4, K21–K24 (2017). https://doiorg.publicaciones.saludcastillayleon.es/10.1530/ERP-17-0023

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  • DOI: https://doiorg.publicaciones.saludcastillayleon.es/10.1530/ERP-17-0023

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Echo Research & Practice

ISSN: 2055-0464

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