Congenital mitral disease: anomalous mitral arcade in a young man.

Federici, Duccio; Palmerini, Elisabetta; Lisi, Matteo; Centola, Luca; Chiavarelli, Mario; Mondillo, Sergio · Ann Thorac Surg · 2010

case_report · Level V

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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.

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