Starfish in the heart: Congenital anomaly of the papillary muscles
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Updated: Feb 3, 2026

Implantation of Total Artificial Heart in Congenital Heart Disease
Published on: July 18, 2014
Mohammed Makkiya1, Pedro A Villablanca1, Jonathan R Walker1
1Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York.
Abstract:
Most common congenital anatomical abnormalities of the subvalvular apparatus (papillary muscles and chordae tendineae) are parachute or parachute like mitral valve. This is more commonly reported among the pediatric population as they develop heart failure symptoms shortly after birth. Reports of adult cases are rare and incidental. Multimodality imaging has an important role in evaluating such anatomical abnormalities, and identification of possible related complications. We are describing a rare atypical variant of parachute like mitral valve.
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