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Published on: May 19, 2020
Functionally uni-leaflet mitral valves in a family: a case series
Prathap Kanagala1, Stephanie Baker, Lawrence Green
1Department of Medical Physics, Grantham & District Hospital, Grantham, Lincolnshire, UK.
Functionally uni-leaflet mitral valves, a rare condition, are typically incompatible with life. This study reports three asymptomatic adults with near-complete absence of the posterior mitral leaflet, a finding previously thought to be fatal.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Cardiac Morphology
Background:
- Functionally uni-leaflet mitral valves are exceptionally rare congenital heart anomalies.
- Severe forms are generally considered incompatible with survival beyond the neonatal period.
Observation:
- A case series involving three adult patients with a unique mitral valve anomaly.
- The patients presented with an almost complete absence of the posterior mitral valve leaflet.
Findings:
- Despite the severe anatomical abnormality, all three adult patients were asymptomatic.
- Mitral regurgitation was mild in all observed cases.
- This represents the first reported familial occurrence of this specific mitral valve malformation.
Implications:
- Challenges the established understanding of mitral valve development and its impact on long-term survival.
- Suggests potential genetic factors influencing mitral valve development within families.
- Highlights the importance of considering rare cardiac anomalies in asymptomatic individuals.
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