title: Congenital double-orifice mitral valve with mitral regurgitation due to flail leaflet in an elderly patient.
abstract: We report here on a case of double-orifice mitral valve with mitral regurgitation in a 75-year-old female who had complaints of mild dyspnea. Transthoracic and transesophageal echocardiography showed two orifices that were supplied by their own chordae from a different papillary muscle. Color Doppler echocardiography revealed moderate to severe mitral regurgitation due to the flail posterior leaflet of the anterolateral orifice. Except for the persistent left superior vena cava, no other congenital anomaly was demonstrated. The patient became asymptomatic with the administration of angiotensin-converting enzyme inhibitor and diuretics, and she has been scheduled for long term follow-up.
authors.affiliation: Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
authors.forename: Shin-Jae
authors.initials: SJ
authors.lastname: Kim
authors.forename: Eun-Seok
authors.initials: ES
authors.lastname: Shin
authors.forename: Sang-Gon
authors.initials: SG
authors.lastname: Lee
mesh_terms: D000368:Aged; D002815:Chordae Tendineae / Q000002:abnormalities / Q000000981:diagnostic imaging; D018618:Echocardiography, Doppler, Color; D005260:Female; D006801:Humans; D008943:Mitral Valve / Q000002:abnormalities* / Q000000981:diagnostic imaging; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology*; D010210:Papillary Muscles / Q000002:abnormalities / Q000000981:diagnostic imaging