Incidental finding of accessory mitral valve tissue on routine adult echocardiography

Author(s):  
Konstantinos C. Theodoropoulos ◽  
Fulya Avci Demir ◽  
Giovani Masoero ◽  
Benito Francisco Lukban ◽  
Tiago Fonseca ◽  
...  
2020 ◽  
Author(s):  
Ying Rao ◽  
Wei Chen ◽  
Yu Wang ◽  
wenjuan Song

Abstract Background: Accessory mitral valve tissue (AMVT) is a rare congenital cardiac anomaly, which is associated with other congenital heart diseases. It is diagnosed in neonates or childhood and rarely in adulthood. Nevertheless, AMVT is an incidental finding or described as isolated. Echocardiography, especially three-dimensional(3D) echocardiography is considered as an optimal imaging technique for AMVT diagnosis.Case presentation: We herein presented the two asymptomatic adult cases with AMVT, who presented with varying degrees of symptomatic left ventricular outflow tract (LVOT) obstruction. One presented with mild LVOT obstruction and no surgery was required, and another one with significant LVOT obstruction was recommended for surgical excision.Conclusions: We emphasized the usefulness of echocardiography in the morphology detection of AMVT, and the importance of operation guidance and follow-up.


2000 ◽  
Vol 17 (2) ◽  
pp. 177-180 ◽  
Author(s):  
RAFFAELE CALABRO ◽  
GIUSEPPE SANTORO ◽  
CARLO PISACANE ◽  
BERARDO SARUBBI ◽  
GABRIELLA FARINA ◽  
...  

2020 ◽  
Vol 4 (1) ◽  
pp. 1-4 ◽  
Author(s):  
Joseph Okafor ◽  
Gajen Sunthar Kanaganayagam ◽  
Ketna Patel

Abstract Background Accessory mitral valve tissue (AMVT) is a rare anomaly that can be detected in the first decade. It is associated with other congenital cardiac abnormalities, such as ventricular septal defect. When detected in adulthood, it is usually an incidental finding on echocardiography. Symptomatic individuals can present with breathlessness, syncope, and features of distal tissue embolization. Cardiac surgery is indicated in those with significant left ventricular outflow tract obstruction. Case summary  A 45-year-old man without any significant medical history was referred due to an abnormal electrocardiogram. He was asymptomatic from a cardiac perspective. Echocardiography revealed the presence of a giant mobile mass attached to the anterior mitral valve leaflet and prolapsing into the left ventricular outflow tract (LVOT). This was classified as Type IIB2 AMVT. As there was no dynamic outflow tract obstruction on subsequent treadmill stress echocardiography, and in the absence of other coexistent congenital abnormality, surgical excision was not performed. Discussion  It is important to exclude significant obstruction when a large AMVT is seen to be prolapsing into the LVOT. Three-dimensional echocardiography is the tool of choice for anatomical classification and to assess for concomitant congenital cardiac abnormalities.


2012 ◽  
Vol 42 (11) ◽  
pp. 800 ◽  
Author(s):  
Onur Kadir Uysal ◽  
Mustafa Duran ◽  
Bugra Ozkan ◽  
Kamuran Tekin ◽  
Zafer Elbasan

2000 ◽  
Vol 69 (6) ◽  
pp. 1934-1937 ◽  
Author(s):  
Klaus Meyer-Hetling ◽  
Vladimir V Alexi-Meskishvili ◽  
Ingo Dähnert

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