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• W3208441104 abstract "A 23-year-old non-dysmorphic female was admitted for congestive heart failure. She was diagnosed with mitral stenosis, congenital hypopituitarism confirmed by genetic tests (defect of gene encoding growth hormone secretion [GH1]; defect of gene encoding pituitary cell differentiation [PROP1]) and coeliac disease. Echocardiography and cardiac computed tomography (CT) showed a congenital mitral arcade causing severe stenosis [ 1 Layman T.E. Edwards J.E. Anomalous mitral arcade. A type of congenital mitral insufficiency. Circulation. 1967; 35: 389-395 Crossref PubMed Scopus (79) Google Scholar , 2 Hakim F.A. Krishnaswamy C. Mookadam F. Mitral arcade in adults. A systematic review. Echocardiography. 2013; 30: 354-359 Crossref PubMed Scopus (13) Google Scholar , 3 Naeim H.A. Taha E.A. Taha R.A. Alatawi F.O. Amodi O. Abuelatta R. Isolated adult congenital uni-leaflet severe mitral valve stenosis, a case report and review of the literature. J Cardiol Cases. 2019; 19: 177-181 Abstract Full Text Full Text PDF PubMed Scopus (1) Google Scholar , 4 Fritz A.V. Phillips S.D. Landolfo K.P. Martin A.K. Mitral arcade. A rare cause of valvular disease. Circ Cardiovasc Imaging. 2020; 13: 1-2 Crossref Scopus (1) Google Scholar , 5 Kim S.J. Shin E.S. Park M.K. Choi S.H. Lee M.G. Congenital mitral insufficiency caused by anomalous mitral arcade in an elderly patient: use of echocardiography and multidetector computed tomography for diagnosis. Circ J. 2005; 69: 1560-1563 Crossref PubMed Scopus (15) Google Scholar ]. Mitral arcade has some anatomical features in common with the parachute valve, such as deformed and restricted leaflet mobility and underdeveloped commissures. On the other hand, the arcade has two thick papillary muscles and elongated chordae tendinae, whereas the parachute valve presents one papillary muscle and short and thick chordae tendinae (Figures 1 and 2). Figure 23D TEE: True View modality. Show full caption (A) The left atrium is visualised from the top. There are a small single eccentric orifice and no separation of leaflets in diastole. (B) The valve is bulging into the left atrium. Elongated papillary muscles attach directly to valve leaflets. Cardiac CT: Two-chamber view (C). Abnormal position of the two elongated papillary muscles that attach directly to valve leaflets. No chordae tendinae. (D) Excised mitral arcade: view from left ventricular side. Complete fusion of both leaflets creating a very thick central ridge: the arcade. No primary and secondary chordae tendinae. Abbreviations: Co, tertiary chordae tendinae; O, eccentric single orifice; P, tips of papillary muscles; CT, computed tomography; TEE, transoesophageal echocardiography; 3D, three dimensional. View Large Image Figure Viewer Download Hi-res image (A) The left atrium is visualised from the top. There are a small single eccentric orifice and no separation of leaflets in diastole. (B) The valve is bulging into the left atrium. Elongated papillary muscles attach directly to valve leaflets. Cardiac CT: Two-chamber view (C). Abnormal position of the two elongated papillary muscles that attach directly to valve leaflets. No chordae tendinae. (D) Excised mitral arcade: view from left ventricular side. Complete fusion of both leaflets creating a very thick central ridge: the arcade. No primary and secondary chordae tendinae. Abbreviations: Co, tertiary chordae tendinae; O, eccentric single orifice; P, tips of papillary muscles; CT, computed tomography; TEE, transoesophageal echocardiography; 3D, three dimensional." @default.
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• W3208441104 date "2022-02-01" @default.
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• W3208441104 title "Mitral Arcade Causing Severe Stenosis in an Adult Patient" @default.
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• W3208441104 doi "https://doi.org/10.1016/j.hlc.2021.09.012" @default.
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