Document Detail

Accessory mitral valve in an adult population: the role of echocardiography in diagnosis and management.
MedLine Citation:
PMID:  15891764     Owner:  NLM     Status:  MEDLINE    
Accessory mitral valve is a rare congenital abnormality and is an unusual cause for subvalvular left ventricular outflow tract (LVOT) obstruction. It is detected first in children and is very rarely noticed in adults. The most common clinical presentation is symptomatic LVOT obstruction. We present a case series of 5 adult patients with varying clinical presentations in which the accessory mitral valve was diagnosed using echocardiography. Three patients presented with varying degrees of symptomatic LVOT obstruction, one presented with recurrent transient ischemic attack and stroke, and one patient was incidentally diagnosed during echocardiography to exclude endocarditis. Accessory mitral valve should be suggested in patients with LVOT obstruction.
Aleksandr Rovner; Srihari Thanigaraj; Julio E Perez
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography     Volume:  18     ISSN:  0894-7317     ISO Abbreviation:  J Am Soc Echocardiogr     Publication Date:  2005 May 
Date Detail:
Created Date:  2005-05-13     Completed Date:  2005-08-04     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8801388     Medline TA:  J Am Soc Echocardiogr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  494-8     Citation Subset:  IM    
Cardiovascular Division, Washington University School of Medicine, St Louis, MO 63110, USA.
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MeSH Terms
Heart Murmurs
Middle Aged
Mitral Valve / abnormalities*,  surgery,  ultrasonography*
Myocardial Ischemia / etiology
Stroke / etiology
Ventricular Outflow Obstruction / diagnosis,  etiology*

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