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Double orifice in prolapsing mitral valve

R De Domenico1, G Gheno, F Cucchini

  • 1Divisione di Cardiologia, Ospendale di Bassano Del Grappa, Italy.

International Journal of Cardiology
|September 1, 1993
PubMed
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A rare double orifice mitral valve was found in a 35-year-old male. While often benign, this condition warrants regular monitoring due to potential heart rhythm issues.

Area of Science:

  • Cardiology
  • Medical Diagnostics
  • Echocardiography

Background:

  • Mitral valve prolapse is a common cardiac condition.
  • Atypical mitral valve anatomy, such as a double orifice, is infrequently observed.
  • Understanding congenital heart anomalies is crucial for patient management.

Observation:

  • Echocardiography identified a prolapsing mitral valve with a rare double orifice ('hole type') in a 35-year-old male.
  • The patient experienced symptoms of supraventricular ectopic beats.
  • Symptoms remained consistent over a 3-year follow-up period.

Findings:

  • The documented double orifice mitral valve is typically considered a benign condition.
  • Previous reports suggest a potential association between this anomaly and fragmentation of the atrioventricular conduction tissue.

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  • The patient's supraventricular ectopic beats persisted without change.

    • Implications:

    • Periodic echocardiographic observation is recommended for patients with double orifice mitral valve.
    • Monitoring is advised to detect any potential progression or complications related to atrioventricular conduction.
    • Further research may clarify the long-term prognosis and management strategies for this specific mitral valve malformation.