What is "locked" behind of this parachute mitral valve

Authors

  • María Juliana Medina Área de Cuidados Intensivos Cardiovasculares. Hospital Garrahan. Buenos Aires. Argentina
  • Miguel Amor Servicio de Cardiología. Área de Ecocardiografía. Hospital Ramos Mejía e Investigaciones Médicas. Buenos Aires. Argentina
  • Victor Darú Servicio de Cardiología. Área de Ecocardiografía. Sanatorio Finochietto e Investigaciones Médicas. Buenos Aires. Argentina
  • Jorge A Lowenstein Servicio de Cardiología. Investigaciones Médicas. Buenos Aires. Argentina

DOI:

https://doi.org/10.37615/retic.n3a13

Keywords:

Shone complex, parachute mitral valve, aortic coarctation.

Abstract

Subvalvular mitral stenosis “parachute” is part of Shone complex. The same is made also by supramitral ring, subaortic stenosis, bicuspid aortic valve and coarctation of the aorta. This complex can occur completely or partially. It represents 1% of all congenital heart disease, and its incidence is approximately 1 in 10.000 newborns.

We present a 15 year-old patient with a history of aortic coarctation diagnosed and treated since the first days of life, who consulted for angina since her 12 years, diagnosed with moderate mitral stenosis. She was referred to our service with effort angina and a positive exercise test for ischemia symptoms and ST-T, with a normal myocardial perfusion.

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References

Oosthoek PW, Wenink ACG, Macedo AJ, Gittenberger-de Groot AC. The parachute-like asymmetric mitral valve and its two papillary muscles. J Thorac Cardiovasc Surg 1997; 114: 9-15. DOI: https://doi.org/10.1016/S0022-5223(97)70111-9

Remenyi B, Gentles TL. Congenital mitral valve lesions: Correlation between morphology and imaging. Ann Pediatr Cardiol 2012; 5 (1): 3-12. DOI: https://doi.org/10.4103/0974-2069.93703

Marino BS, Kruge LE, Cho CJ, et al. Parachute mitral valve: Morphologic descriptors, associated lesions, and outcomes after biventricular repair. J Thorac Cardiovasc Surg 2009; 137 (2): 385-393.e4. DOI: https://doi.org/10.1016/j.jtcvs.2008.09.016

Reis G, Motta MS, Barbosa MM, et al. Dobutamine stress echocardiography for non-invasive assessment and risk stratification of patients with rheumatic mitral stenosis. J Am Coll Cardiol 2004; 43: 393-401. DOI: https://doi.org/10.1016/j.jacc.2003.09.037

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Published

2016-12-31

How to Cite

1.
Medina MJ, Amor M, Darú V, Lowenstein JA. What is "locked" behind of this parachute mitral valve. Rev Ecocardiogr Pract Otras Tec Imag Card (RETIC) [Internet]. 2016 Dec. 31 [cited 2024 Jul. 3];(3):57-61. Available from: https://imagenretic.org/RevEcocarPract/article/view/16

Issue

No. 3 (2016): Revista de Ecocardiografía Práctica y Otras Técnicas de Imagen Cardíaca

Section

CLINICAL CASES

License

Copyright (c) 2016 María Juliana Medina, Miguel Amor, Victor Darú, Jorge A Lowenstein

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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