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Articles

Title: Double orifice mitral valve. Two cases with different clinical course

Author:
Andrzej Wojtarowicz, Edyta Płońska-Gościniak
Type:
Case Reports
Language:
PL
Journal:
Polish Journal of Cardiology
Year:
2007
Volume:
9
Number:
5
Start page:
374
Final page:
377
ISSN:
1507-5540
Keywords:
double orifice mitral valve, echocardiography
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Double orifice mitral valve is a rare congenital valvular heart disease. Its natural history is not good recognized. It is most often associated with other congenital heart defects. Isolated form ofthis disease is rarely reported. In about 50% cases function of double orifice mitral valvefunction is sufficient, in the rest - this valve can present significant stenosis or/and insufficiency. We present two cases of isolated double orifice mitral valve in adult persons. The diagnosis was estimated by accident during transthoracic and transesophageal echocardiography. In the first case, in 51 years old woman, this valvular disease had no hemodynamical significancy. Mitral valve area measured 3.4 cm2, and therewas no significant regurgitation. She has other congenital disorders: uterus bicornis and double renal pelvis. We recommended observation and infective endocar-ditis prophylaxis. Second patient strongly calcificated valve with severe mitral stenosis and insufficiency. She had not inflammatory rheumatism in the past. In this case color Doppler echocardiography was helpful in diagnostics. Patient was recommended to surgical therapy.