The tensor apparatus in double-orifice mitral valve: interpretation of echocardiographic findings

J Am Soc Echocardiogr. 1997 Oct;10(8):869-73. doi: 10.1016/s0894-7317(97)70048-8.

Abstract

We describe a rare case of double-orifice mitral valve discovered with echocardiography. The tensor apparatus composed of four papillary muscles and anomalous attachment of chordae tendineae represents the main findings. Two supernumerary muscles in combination with the altered chordal insertion on the central portion of the anterior mitral leaflet are responsible for the V-shaped ("seagull wing") and spectacle-like features of the mitral valve in the short-axis view. These altogether allow precise identification of this congenital malformation.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Chordae Tendineae / diagnostic imaging*
  • Echocardiography*
  • Echocardiography, Transesophageal
  • Humans
  • Male
  • Mitral Valve / abnormalities*
  • Mitral Valve / diagnostic imaging*
  • Papillary Muscles / diagnostic imaging*