Document Detail

Case report: Multidetector CT presentation of a parachute-like asymmetric mitral valve.
MedLine Citation:
PMID:  18941039     Owner:  NLM     Status:  MEDLINE    
A 24-year-old man with a complaint of exertional dyspnoea had a Grade III/VI apical pansystolic murmur on physical examination. He underwent a transthoracic echocardiogram, which revealed a funnel-shaped mitral valve with moderately thick leaflet tissue and an eccentric orifice, as well as a bicuspid aortic valve. The mitral valve was mildly stenotic and severely regurgitant. Although demonstration of a single papillary muscle in the parasternal short axis view suggested a parachute mitral valve, the diagnosis was uncertain owing to poor echocardiographic acoustic quality. 16-row multidetector CT (MDCT) clearly demonstrated two papillary muscles and the patient was diagnosed as having a parachute-like asymmetric mitral valve. In conclusion, MDCT can be used as a complementary imaging technique for the evaluation of subvalvular mitral apparatus and papillary muscles, especially in patients with poor echocardiographic acoustic quality.
O Ucar; M Vural; H Cicekcioglu; L Pasaoglu; S Aydogdu; S Koparal
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The British journal of radiology     Volume:  81     ISSN:  1748-880X     ISO Abbreviation:  Br J Radiol     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-10-22     Completed Date:  2008-12-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0373125     Medline TA:  Br J Radiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  e266-8     Citation Subset:  AIM; IM    
Department of Cardiology, Ankara Numune Education and Research Hospital, Talatpasa Bulvari,Sihhiye, Ankara, Turkey.
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MeSH Terms
Contrast Media
Heart Defects, Congenital / radiography*,  ultrasonography
Heart Murmurs / ultrasonography
Mitral Valve / abnormalities,  radiography*,  ultrasonography
Mitral Valve Stenosis / ultrasonography
Tomography, X-Ray Computed / methods*
Young Adult
Reg. No./Substance:
0/Contrast Media

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