title: Congenital mitral insufficiency caused by anomalous mitral arcade in an elderly patient: use of echocardiography and multidetector computed tomography for diagnosis.
abstract: Anomalous mitral arcade is a rare congenital malformation and few survive to adulthood. A 65-year-old man presented with mild dyspnea and cardiac murmur. Transthoracic and transesophageal echocardiography showed an arc-like configuration of the papillary muscles, constrained by an interconnecting fibrous band in direct continuity with the anterior mitral leaflet, and mitral insufficiency caused by the restricted mobility of the mitral valve. Multidetector computed tomography confirmed these findings.
authors.affiliation: Department of Internal Medicine, Ulsan University Hospital, Republic of Korea.
authors.forename: Shin-Jae
authors.initials: SJ
authors.lastname: Kim
authors.forename: Eun-Seok
authors.initials: ES
authors.lastname: Shin
authors.forename: Man-Ki
authors.initials: MK
authors.lastname: Park
authors.forename: Seong-Hoon
authors.initials: SH
authors.lastname: Choi
authors.forename: Sang-Gon
authors.initials: SG
authors.lastname: Lee
mesh_terms: D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000150:complications / Q000628:therapy; D004417:Dyspnea / Q000209:etiology; D004452:Echocardiography; D006337:Heart Murmurs / Q000209:etiology; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000002:abnormalities* / Q000503:physiopathology; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000151:congenital / Q000175:diagnosis / Q000209:etiology*; D010210:Papillary Muscles; D014057:Tomography, X-Ray Computed