title: Congenital mitral disease: anomalous mitral arcade in a young man.
abstract: We present the case of a 33-year-old man referred to our institution with a diagnosis of severe mitral valvular stenosis and insufficiency. We realized the valvular disease was due to an "anomalous mitral arcade," a rare congenital malformation of the mitral tensor apparatus characterized by enlarged papillary muscles connected to mitral leaflets by a typical fibrous tissue bridge. This arrangement creates a fibrous continuity between valvular and subvalvular apparatus. The reported echocardiographic images shows in detail the anatomic and functional features of this rare condition.
authors.affiliation: Department of Cardiovascular Diseases, University of Siena, Italy. ducciofederici@yahoo.it
authors.forename: Duccio
authors.initials: D
authors.lastname: Federici
authors.forename: Elisabetta
authors.initials: E
authors.lastname: Palmerini
authors.forename: Matteo
authors.initials: M
authors.lastname: Lisi
authors.forename: Luca
authors.initials: L
authors.lastname: Centola
authors.forename: Mario
authors.initials: M
authors.lastname: Chiavarelli
authors.forename: Sergio
authors.initials: S
authors.lastname: Mondillo
mesh_terms: D000328:Adult; D001672:Biocompatible Materials; D002815:Chordae Tendineae / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*; D003937:Diagnosis, Differential; D004452:Echocardiography; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000151:congenital* / Q000000981:diagnostic imaging / Q000601:surgery*; D008946:Mitral Valve Stenosis / Q000151:congenital* / Q000000981:diagnostic imaging / Q000601:surgery*; D010210:Papillary Muscles / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*; D011138:Polytetrafluoroethylene; D011183:Postoperative Complications / Q000000981:diagnostic imaging
chemical_list: D001672:Biocompatible Materials; D011138:Polytetrafluoroethylene