Triple-orifice congenital stenotic mitral valve: a unique finding characterized by multimodality echocardiography | Zendy

Sílvia Marta Oliveira | Zendy; Ricardo Faria | Zendy; Mário Jorge Amorim | Zendy; Jorge Almeida | Zendy

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Triple-orifice congenital stenotic mitral valve: a unique finding characterized by multimodality echocardiography

Author(s) -

Sílvia Marta Oliveira,

Ricardo Faria,

Mário Jorge Amorim,

Jorge Almeida

Publication year - 2011

Publication title -

european heart journal - cardiovascular imaging

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 2.576

H-Index - 92

eISSN - 2047-2412

pISSN - 2047-2404

DOI - 10.1093/ejechocard/jer102

Subject(s) - cardiology , medicine , stenosis , mitral valve , diastole , mitral valve stenosis , doppler echocardiography , body orifice , heart disease , anatomy , blood pressure

A 23-year-old woman, with mitral stenosis since childhood, presented with worsening exertional dyspnoea. She had no previous acute rheumatic fever. Two-dimensional transthoracic echocardiogram demonstrated thickened mitral leaflets, with diastolic dome-shape due to restricted posterior leaflet and a formerly non-recognized triple-orifice mitral valve ( Panels A and B ). Doppler revealed a mean gradient of 17 mmHg and larger orifice area was 0.6 cm2. These findings were consistent with severe congenital mitral stenosis. In addition, a muscular ventricular septal defect (VSD) and severe pulmonary …

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