Three-Dimensional Echocardiographic Reconstruction of Double-Orifice Mitral Valve and Mitral Leaflet Prolapse

Authors
In-Cheol KimYun-Kyeong ChoHyungseop KimNam-Hee ParkKwon-Bae Kim
Department
Dept. of Internal Medicine (내과학); Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
Issue Date
2014
Citation
Circulation, Vol.130(10) : e87-e88, 2014
ISSN
0009-7322
Abstract
A 51-year-old man was referred to our cardiology department for examination of a systolic murmur. Physical examination indicated a grade 3 systolic murmur at the fourth left intercostal space. Transthoracic echocardiography (TTE; Figure 1A) and heart dynamic computed tomography (Figure 1B) demonstrated a double-orifice mitral valve (DOMV) with 4 papillary muscles (triangles). Two valve orifices were separated by a complete bridge (arrow). The posteromedial mitral valve was larger, and the anterolateral mitral valve was smaller. The anterior leaflet of the anterolateral mitral valve prolapsed owing to chordae rupture, while color Doppler showed severe mitral regurgitation (Figure 2, Movie I in the online-only Data Supplement). No other combined congenital abnormalities were detected. Three-dimensional TTE clearly showed two orifices of the mitral valve (Movie II in the online-only Data Supplement). Transesophageal echocardiography (TEE) confirmed the diagnosis of DOMV and mitral valve prolapse (Figure 3). Three-dimensional TEE provided a better understanding of the mitral valve and the prolapsed leaflet (Figure 4, Movie III in the online-only Data Supplement).
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/35422
Appears in Collections:
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Thoracic & Cardiovascular Surgery (흉부외과학)
Keimyung Author(s)
김인철; 조윤경; 김형섭; 김권배; 박남희
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