title: Parachute mitral valve with severe mitral regurgitation in an adult patient.
abstract: Parachute mitral valve (PMV) is rarely seen in the adult population, in isolation or in association with other congenital heart defects, since most patients may have had milder lesions previously that were asymptomatic early in life, or were not detected due to lack of a comprehensive examination. We report a case of an 18-year-old woman with a history of exertional dyspnea, atypical chest pain, and cough for about 1 year. The echocardiographic examination identified a PMV with severe mitral regurgitation associated with bicuspid aortic valve and coarctation of the aorta. Most patients present with mitral stenosis of varying degree of severity, and rarely present with severe mitral regurgitation as seen in our patient.
authors.affiliation: Echocardiography In Outpatients Clinic, National Institute of Cardiology Ignacio Chavez, Mexico City, Mexico. niesza2001@hotmail.com
authors.forename: Nilda
authors.initials: N
authors.lastname: Espinola-Zavaleta
authors.forename: Reema
authors.initials: R
authors.lastname: Chugh
authors.forename: Gabriela Meléndez
authors.initials: GM
authors.lastname: Ramírez
mesh_terms: D000293:Adolescent; D004452:Echocardiography / Q000379:methods*; D005260:Female; D006801:Humans; D008943:Mitral Valve / Q000002:abnormalities* / Q000000981:diagnostic imaging*; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging* / Q000209:etiology*