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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 …

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