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European Journal of Echocardiography Advance Access published online on May 1, 2008

European Journal of Echocardiography, doi:10.1093/ejechocard/jen149
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

Double orifice mitral valve by real-time three-dimensional echocardiography

Ashraf M. Anwar1,2, Jackie S. McGhie1, Folkert J. Meijboom1 and Folkert J. ten Cate1,*

1 Department of Cardiology, Thoraxcenter, Room Ba 302, Erasmus MC, Dr. Molewaterplein 40, 3015 GD Rotterdam, The Netherlands
2 Department of Cardiology, Al-Husein University Hospital, Al-Azhar University, Cairo, Egypt

Received 25 December 2007; accepted after revision 21 March 2008.

* Corresponding author. Tel: +31 10 4633986; fax: +31 10 4635498. E-mail address: f.j.tencate{at}erasmusmc.nl


   Abstract

Double orifice mitral valve (DOMV) is a rare congenital malformation described as division of mitral orifice into two anatomically distinct orifices separated by an accessory bridge of fibrous tissue. In 85% of cases, both orifices are unequal in size. It is usually associated with other congenital defects such as atrioventricular septal defect and complex congenital heart disease. Most of cases could be diagnosed by two-dimensional echocardiography (2DE). The real-time three-dimensional echocardiography (RT3DE) helped in more detailed structure and function. Presented here RT3DE used for orientation of DOMV that allowed detailed and comprehensive assessment incremental to that obtained by 2DE.

Keywords: Double orifice mitral valve; Real-time three-dimensional echocardiography; Congenital heart disease


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