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European Journal of Echocardiography 2003 4(4):334-335; doi:10.1016/S1525-2167(03)00016-7
© 2003 by European Society of Cardiology
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Copyright © 2003, The European Society of Cardiology

Mitral Insufficiency with Congenital Double-Orifice Mitral Valve in an Elderly Patient

A.M Heyse, D Vanhercke*, J Nimmegeers, L Missault, R Claeys, G Hollanders and L Versée

Department of Cardiovascular Diseases, AZ St-Lucas, Ghent, Belgium

Received 13 September 2002; received in revised form 6 March 2003; accepted after revision 6 March 2003.

* Address correspondence to: D. Vanhercke, Department of Cardiovascular Diseases, Campus H Familie, AZ St-Lucas, Groenebriel 1, Ghent 9000, Belgium. Tel: +32-9-2246401; Fax: +32-9-2246409. echohf{at}azstlucas.be


  Abstract

We describe the case of a 79-year-old woman with mitral insufficiency and a double-orifice mitral valve (DOMV), discovered by echocardiography. Transthoracic echocardiography showed two insufficiency jets. Transesophageal echocardiography revealed a DOMV. Each orifice was provided with a subvalvular apparatus. No associated congenital abnormalities were present. Our case demonstrates that even in elderly patients with a double regurgitant jet, DOMV should be suspected and assessed by transesophageal echocardiography.

Keywords: double-orifice mitral valve; mitral insufficiency; transesophageal echocardiography; congenital malformation


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