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Incidental finding of a double orifice mitral valve in an elderly patient: value of 3D imaging

A rare isolated double orifice mitral valve (DOMV) was diagnosed in a 77-year-old male patient, being assessed for surgical repair of the ascending aorta. This is a rare congenital abnormality, usually discovered as an incidental finding during investigation of other congenital heart defects. This c...

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Autores principales: Pires, Nuno, Li, Wei, Senior, Roxy, Khattar, Rajdeep S
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bioscientifica Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5574279/
https://www.ncbi.nlm.nih.gov/pubmed/28743714
http://dx.doi.org/10.1530/ERP-17-0023
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author Pires, Nuno
Li, Wei
Senior, Roxy
Khattar, Rajdeep S
author_facet Pires, Nuno
Li, Wei
Senior, Roxy
Khattar, Rajdeep S
author_sort Pires, Nuno
collection PubMed
description A rare isolated double orifice mitral valve (DOMV) was diagnosed in a 77-year-old male patient, being assessed for surgical repair of the ascending aorta. This is a rare congenital abnormality, usually discovered as an incidental finding during investigation of other congenital heart defects. This case shows that a detailed assessment of all cardiac structures is necessary, not only in young patients, but also in the elderly population, to minimise the under-diagnosis of such rare anomalies. The use of 3D transthoracic echocardiography (TTE) has an increasingly significant role in establishing the diagnosis and extending the morphological and functional understanding of the anomaly. LEARNING POINTS: Thoroughly assessing all cardiac structures, in accordance with the minimum dataset guidelines for transthoracic echocardiography, ensures not only a comprehensive assessment of the primary indication for the scan, but also improves the detection of concomitant and otherwise unknown lesions. . Despite falling under the category of congenital heart defects, several rare anomalies such as DOMV can be present in elderly patients, and the adult echocardiographer should have appropriate knowledge and awareness for detecting these conditions. ; 3D TTE provides a comprehensive assessment of the morphology of DOMV, over and above the information obtained by 2D imaging. .
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spelling pubmed-55742792017-09-01 Incidental finding of a double orifice mitral valve in an elderly patient: value of 3D imaging Pires, Nuno Li, Wei Senior, Roxy Khattar, Rajdeep S Echo Res Pract Case Report A rare isolated double orifice mitral valve (DOMV) was diagnosed in a 77-year-old male patient, being assessed for surgical repair of the ascending aorta. This is a rare congenital abnormality, usually discovered as an incidental finding during investigation of other congenital heart defects. This case shows that a detailed assessment of all cardiac structures is necessary, not only in young patients, but also in the elderly population, to minimise the under-diagnosis of such rare anomalies. The use of 3D transthoracic echocardiography (TTE) has an increasingly significant role in establishing the diagnosis and extending the morphological and functional understanding of the anomaly. LEARNING POINTS: Thoroughly assessing all cardiac structures, in accordance with the minimum dataset guidelines for transthoracic echocardiography, ensures not only a comprehensive assessment of the primary indication for the scan, but also improves the detection of concomitant and otherwise unknown lesions. . Despite falling under the category of congenital heart defects, several rare anomalies such as DOMV can be present in elderly patients, and the adult echocardiographer should have appropriate knowledge and awareness for detecting these conditions. ; 3D TTE provides a comprehensive assessment of the morphology of DOMV, over and above the information obtained by 2D imaging. . Bioscientifica Ltd 2017-07-25 /pmc/articles/PMC5574279/ /pubmed/28743714 http://dx.doi.org/10.1530/ERP-17-0023 Text en © 2017 The authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (http://creativecommons.org/licenses/by-nc-nd/4.0/) .
spellingShingle Case Report
Pires, Nuno
Li, Wei
Senior, Roxy
Khattar, Rajdeep S
Incidental finding of a double orifice mitral valve in an elderly patient: value of 3D imaging
title Incidental finding of a double orifice mitral valve in an elderly patient: value of 3D imaging
title_full Incidental finding of a double orifice mitral valve in an elderly patient: value of 3D imaging
title_fullStr Incidental finding of a double orifice mitral valve in an elderly patient: value of 3D imaging
title_full_unstemmed Incidental finding of a double orifice mitral valve in an elderly patient: value of 3D imaging
title_short Incidental finding of a double orifice mitral valve in an elderly patient: value of 3D imaging
title_sort incidental finding of a double orifice mitral valve in an elderly patient: value of 3d imaging
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5574279/
https://www.ncbi.nlm.nih.gov/pubmed/28743714
http://dx.doi.org/10.1530/ERP-17-0023
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