Double-orifice mitral valve: A study of 27 postmortem cases with developmental, diagnostic and surgical considerations

Baño-Rodrigo, Antonio; Praagh, Stella Van; Trowitzsch, E.; Praagh, Richard Van

doi:10.1016/0002-9149(88)91322-7

Cited by 159 publications

(116 citation statements)

References 27 publications

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“…Three strategies are applied in the correction of DOMV, including major valve repair, cleft suture and valve replacement [8]. The tissue bridge is the most important structure to keep the valve competent.…”

Section: Discussionmentioning

confidence: 99%

Surgical repair for isolated congenital double-orifice mitral valve

Zhu

Chen

Zhao

2011

European Journal of Cardio-Thoracic Surgery

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Congenital double-orifice mitral valve is a rare congenital heart disease and causes mitral-valve regurgitation and/or stenosis. We present a case of congenital double-orifice mitral valve with mitral regurgitation that was not verified by preoperative echocardiography. It was confirmed by open-heart surgery and was successfully repaired with comprehensive techniques. It is possible to achieve better long-term results and life quality of congenital double-orifice mitral valve with valve repair.

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Section: Discussionmentioning

confidence: 99%

Surgical repair for isolated congenital double-orifice mitral valve

Zhu

Chen

Zhao

2011

European Journal of Cardio-Thoracic Surgery

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“…In its least frequent type of presentation (approximately 15% of cases), the DOMV has orifices of equal size and a central subdivision. 4 The prognosis for patients with a DOMV in terms of valvular function has not been clearly defined, but the medical literature reveals that although both orifices may be functional in less than half of adolescent patients, both are rarely functional in adults. [4][5][6] No consensus opinion has been expressed in the medical literature about the need for antibiotic prophylaxis in cases of DOMV.…”

Section: Discussionmentioning

confidence: 99%

“…4 The prognosis for patients with a DOMV in terms of valvular function has not been clearly defined, but the medical literature reveals that although both orifices may be functional in less than half of adolescent patients, both are rarely functional in adults. [4][5][6] No consensus opinion has been expressed in the medical literature about the need for antibiotic prophylaxis in cases of DOMV. In keeping with what holds for patients with other cardiac structural lesions that are not hemodynamically abnormal, our patient would have been considered to be at low risk for infective endocarditis on the basis of her DOMV alone; however, antibiotic prophylaxis was prescribed for her because of the concomitant presence of the mildly stenotic bicuspid aortic valve.…”

Section: Discussionmentioning

confidence: 99%

Well‐functioning double‐orifice mitral valve in a young adult

Karas

Barbetseas

Lambrou

et al. 2003

J of Clinical Ultrasound

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We report the case of a rare congenital anomaly, a double-orifice mitral valve, in a 23-year-old woman who was asymptomatic and had no history of heart disease. Transthoracic and multiplane transesophageal echocardiography revealed 2 functionally normal orifices of equal size, the least frequent anatomic presentation of this anomaly. We prescribed antibiotic prophylaxis because of the concomitant presence of a mildly stenotic bicuspid aortic valve and recommended annual follow-up examinations to monitor both lesions for possible progression.

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“…This condition is associated with varying degrees of mitral stenosis or regurgitation and has strong associations with additional valvular anomalies and other congenital cardiac defects (47).…”

Section: Congenital Mitral Diseasementioning

confidence: 99%