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Double mitral valve orifice and primary pulmonary hypertension
M E Mendelsohn1, P Cole, M S Sutton
1Cardiovascular Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115.
International Journal of Cardiology
|February 1, 1989
Summary
This study reports a rare association between a complete bridge type 1 double mitral valve and primary pulmonary hypertension. Diagnosis was confirmed using advanced echocardiography and cardiac catheterization.
Area of Science:
- Cardiology
- Cardiac Surgery
- Medical Diagnostics
Background:
- Congenital heart defects can present with complex anatomical variations.
- Primary pulmonary hypertension (PPH) is a severe condition affecting the lung vasculature.
- The coexistence of specific mitral valve anomalies and PPH is not well-documented.
Observation:
- A case is presented involving a double mitral valve orifice, specifically the complete bridge variety (Type 1).
- This anatomical anomaly was found in conjunction with primary pulmonary hypertension.
- This specific combination represents a previously unreported association in medical literature.
Findings:
- Two-dimensional Doppler echocardiography was utilized for a comprehensive diagnosis of the cardiac anomalies.
- Cardiac catheterization was performed to corroborate the hemodynamic status of the patient.
- The findings confirm the co-occurrence of Type 1 double mitral valve and PPH.
Implications:
- This case expands the understanding of congenital heart disease associations.
- Highlights the importance of advanced imaging in diagnosing complex cardiac conditions.
- May inform future diagnostic and management strategies for patients with similar rare conditions.