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Well-functioning double-orifice mitral valve in a young adult
Spilios Karas1, John Barbetseas, Spyros Lambrou
1Department of Cardiology, Amalia Fleming Hospital, 14 March 25th Street, Athens 15127, Greece.
Journal of Clinical Ultrasound : JCU
|February 21, 2003
Summary
A rare congenital heart anomaly, double-orifice mitral valve, was found in an asymptomatic 23-year-old woman. This least frequent presentation involved two normal-sized orifices, with a bicuspid aortic valve also noted.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Echocardiography
Background:
- Congenital heart anomalies can present asymptomatically.
- Double-orifice mitral valve is a rare cardiac malformation.
- Early detection is crucial for managing potential complications.
Observation:
- A 23-year-old woman presented with a rare congenital anomaly: a double-orifice mitral valve.
- The patient was asymptomatic with no prior history of heart disease.
- Transthoracic and multiplane transesophageal echocardiography were utilized for diagnosis.
Findings:
- The echocardiography revealed two functionally normal mitral valve orifices of equal size.
- This represents the least frequent anatomic presentation of a double-orifice mitral valve.
- A mildly stenotic bicuspid aortic valve was also identified concurrently.
Implications:
- The patient was prescribed antibiotic prophylaxis due to the bicuspid aortic valve.
- Annual follow-up examinations are recommended to monitor both cardiac lesions.
- Early detection and monitoring are key for managing congenital heart anomalies.