title: Parachute deformity of both atrioventricular valves with congenitally corrected transposition in an adult.
abstract: A 23-year-young female presented with mild exertional dyspnoea and palpitation since early childhood. By deploying 2D- and 3D echocardiography, she was detected to have situs solitus, atrioventricular and ventriculoarterial discordance with L-malposition of great vessels, valvular pulmonary stenosis, large secundum atrial septal defect, bicuspid aortic valve, right-sided aortic arch, and moderately severe mitral and tricuspid valve regurgitation. Typical parachute deformities of the morphologically mitral and tricuspid valves were observed. 3D echocardiography revealed a single papillary muscle in the morphologically left ventricle placed anteriorly and providing insertion to tendinous cords and only a moderator band with no other muscle bundles in the morphologically right ventricle placed posteriorly and providing attachment to two strings of cords. Considering the minimal symptoms, conservative treatment was pursued.
authors.affiliation: Department of Cardiac Sciences, Fortis Hospital, Shalimar Bagh, Delhi 110088, India. Electronic address: a51hauzkhas@gmail.com.
authors.forename: Jagdish C
authors.initials: JC
authors.lastname: Mohan
authors.affiliation: Department of Cardiac Sciences, Fortis Hospital, Shalimar Bagh, Delhi 110088, India.
authors.forename: Madhu
authors.initials: M
authors.lastname: Shukla
authors.affiliation: Department of Cardiac Sciences, Fortis Hospital, Shalimar Bagh, Delhi 110088, India.
authors.forename: Arvind
authors.initials: A
authors.lastname: Sethi
mesh_terms: D000015:Abnormalities, Multiple; D006348:Cardiac Surgical Procedures / Q000379:methods*; D019560:Echocardiography, Three-Dimensional; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000175:diagnosis*; D006801:Humans; D014188:Transposition of Great Vessels / Q000601:surgery*; D014261:Tricuspid Valve / Q000002:abnormalities* / Q000000981:diagnostic imaging; D014262:Tricuspid Valve Insufficiency / Q000175:diagnosis*; D055815:Young Adult
keywords: Congenitally corrected transposition; Parachute mitral valve; Parachute tricuspid valve; Single papillary muscle