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Direct insertion of papillary muscle into mitral valve leaflets in a healthy patient without hypertrophic cardiomyopathy
Author(s) -
Lépori Augusto José,
Lépori Orlando José,
Werenitzky José,
Islas Fabián,
Perez de Isla Lepoldo
Publication year - 2019
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.14369
Subject(s) - medicine , asymptomatic , papillary muscle , cardiology , hypertrophic cardiomyopathy , physical examination , mitral regurgitation , mitral valve , diastole , stenosis , blood pressure
We present the case of a healthy young woman that was evaluated before participation in amateur sports. A systolic and diastolic murmur was heard during the physical examination. Two‐dimensional echocardiography was performed, and a direct insertion of the posteromedial papillary muscle into the mitral valve leaflets was found. Mild mitral stenosis and moderate regurgitation were also found. Because she was asymptomatic, a follow‐up in 6 months was planned to control the evaluation of her valve disease.