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Double-orifice mitral valve causing left ventricular outflow tract obstruction: a hitherto unreported entity

Published online by Cambridge University Press:  30 September 2025

Ishita Garg
Affiliation:
Department of Paediatric Cardiology, Institute of Cardio Vascular Diseases, The Madras Medical Mission, Chennai, India
Sreeja Pavithran*
Affiliation:
Department of Paediatric Cardiology, Institute of Cardio Vascular Diseases, The Madras Medical Mission, Chennai, India
Sivakumar Kothandam
Affiliation:
Department of Paediatric Cardiology, Institute of Cardio Vascular Diseases, The Madras Medical Mission, Chennai, India
*
Corresponding author: Sreeja Pavithran; Email: sreejapavithran@yahoo.com

Abstract

We report the first documented case of isolated double-orifice mitral valve causing significant left ventricular outflow tract obstruction in an infant. Echocardiography revealed a complete bridge-type double-orifice mitral valve with aberrant chordal insertion into the interventricular septum, producing severe left ventricular outflow tract obstruction. This rare presentation underscores the importance of meticulous echocardiographic assessment for accurate diagnosis and surgical planning.

Information

Type
Case Report
Copyright
© The Author(s), 2025. Published by Cambridge University Press

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References

Baño-Rodrigo, A, Van Praagh, S, Trowitzsch, E, Van Praagh, R. Double-orifice mitral valve: a study of 27 postmortem cases with developmental, diagnostic and surgical considerations. Am J Cardiol 1988; 61 :152160. DOI: 10.1016/0002-9149(88)91322-7.CrossRefGoogle ScholarPubMed
Trowitzsch, E, Bano-Rodrigo, A, Burger, BM, Colan, SD, Sanders, SP. Two-dimensional echocardiographic findings in double orifice mitral valve. J Am Coll Cardiol 1985; 6 :383387. DOI: 10.1016/S0735-1097(85)80176-5.CrossRefGoogle ScholarPubMed
Warnes, C, Somerville, J. Double mitral valve orifice in atrioventricular defects. Heart 1983; 49 :5964. DOI: 10.1136/hrt.49.1.59.CrossRefGoogle ScholarPubMed
Fernandez Gasso, L, Jimenez Lopez-Guarch, C, Garcia Robles, JA, Solis, J. Double-orifice mitral valve associated with multivalvular involvement: a new entity? Eur Heart J 2020; 41 :28182818. DOI: 10.1093/eurheartj/ehaa240.CrossRefGoogle ScholarPubMed
Zalzstein, E, Hamilton, R, Zucker, N, Levitas, A, Gross, GJ. Presentation, natural history, and outcome in children and adolescents with double orifice mitral valve. Am J Cardiol 2004; 93 :10671069. DOI: 10.1016/j.amjcard.2004.01.015.CrossRefGoogle ScholarPubMed
Liu, S, Ren, W, Ma, C, Yang, J. Congenital Double-Orifice mitral valve in asymptomatic patients: comprehensive assessment by three-dimensional echocardiography. Int Heart J 2018; 59 :213215. DOI: 10.1536/ihj.17-033.CrossRefGoogle Scholar