Double-orifice mitral valve associated with bicuspid aortic valve

Area of Science:

• Cardiology
• Congenital Heart Disease
• Cardiac Imaging

Background:

• Double-orifice mitral valve (DOMV) is a rare congenital anomaly.
• It typically has minimal hemodynamic impact.
• Bicuspid aortic valve (BAV) is a common congenital heart defect.

Observation:

• A 54-year-old female presented with dyspnea on exertion.
• She was diagnosed with both DOMV and BAV, a rare combination.
• Three-dimensional echocardiography was utilized for detailed assessment.

Findings:

• The patient exhibited no significant mitral regurgitation or stenosis.
• Moderate aortic stenosis was identified.
• The co-occurrence of DOMV and BAV was confirmed.

Implications:

• This case highlights a rare congenital heart malformation association.
• Advanced echocardiography is crucial for diagnosing complex valve anomalies.
• Periodic monitoring is essential for managing patients with combined valve defects.