Double-orifice mitral valve with intact atrioventricular septum: An echocardiographic study with anatomic and functional considerations
We identified 18 patients with double-orifice mitral valve (DOMV) and intact atrioventricular (AV) septum out of 40,179 echocardiographic studies performed between 1997 and 2002 at Children’s Hospital, Denver, CO. In this study we describe (1) the anatomic characteristics of the DOMV in the absence...
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| Veröffentlicht in: | Journal of the American Society of Echocardiography 2005-03, Vol.18 (3), p.231-236 |
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| container_title | Journal of the American Society of Echocardiography |
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| creator | Das, Bibhuti B. Pauliks, Linda B. Knudson, Ole A. Kirby, Scott Chan, Kak-Chen Valdes-Cruz, Lilliam Cayre, Raul O. |
| description | We identified 18 patients with double-orifice mitral valve (DOMV) and intact atrioventricular (AV) septum out of 40,179 echocardiographic studies performed between 1997 and 2002 at Children’s Hospital, Denver, CO. In this study we describe (1) the anatomic characteristics of the DOMV in the absence of AV septal defect, (2) the function of the mitral valve by spectral and color Doppler flow mapping, and (3) associated lesions. The topographic location of the orifices in the leaflets suggests possible embryologic mechanisms of DOMV. In this series, DOMV was most commonly associated with left-sided obstructive lesions (in 39% of patients). Spectral and color Doppler interrogation demonstrated a normal flow profile in most cases; only 2 patients had significant mitral regurgitation or stenosis. Therefore, due to the uncertain natural history of this lesion and the potential need for endocarditis prophylaxis, careful imaging of the mitral valve is recommended, particularly in the presence of left-sided obstructive lesions. |
| doi_str_mv | 10.1016/j.echo.2004.12.001 |
| format | Article |
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Therefore, due to the uncertain natural history of this lesion and the potential need for endocarditis prophylaxis, careful imaging of the mitral valve is recommended, particularly in the presence of left-sided obstructive lesions.</description><identifier>ISSN: 0894-7317</identifier><identifier>EISSN: 1097-6795</identifier><identifier>DOI: 10.1016/j.echo.2004.12.001</identifier><identifier>PMID: 15746712</identifier><language>eng</language><publisher>United States: Mosby, Inc</publisher><subject>Adolescent ; Adult ; Child ; Child, Preschool ; Echocardiography, Doppler, Color ; Female ; Heart Septum - diagnostic imaging ; Humans ; Infant ; Infant, Newborn ; Male ; Mitral Valve - abnormalities ; Mitral Valve - diagnostic imaging</subject><ispartof>Journal of the American Society of Echocardiography, 2005-03, Vol.18 (3), p.231-236</ispartof><rights>2005 American Society of Echocardiography</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c354t-bf3a43b7b36e88ce01b03894bbecc30e841c96be5791684f3e9f2bb5dc0c382d3</citedby><cites>FETCH-LOGICAL-c354t-bf3a43b7b36e88ce01b03894bbecc30e841c96be5791684f3e9f2bb5dc0c382d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0894731704011277$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15746712$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Das, Bibhuti B.</creatorcontrib><creatorcontrib>Pauliks, Linda B.</creatorcontrib><creatorcontrib>Knudson, Ole A.</creatorcontrib><creatorcontrib>Kirby, Scott</creatorcontrib><creatorcontrib>Chan, Kak-Chen</creatorcontrib><creatorcontrib>Valdes-Cruz, Lilliam</creatorcontrib><creatorcontrib>Cayre, Raul O.</creatorcontrib><title>Double-orifice mitral valve with intact atrioventricular septum: An echocardiographic study with anatomic and functional considerations</title><title>Journal of the American Society of Echocardiography</title><addtitle>J Am Soc Echocardiogr</addtitle><description>We identified 18 patients with double-orifice mitral valve (DOMV) and intact atrioventricular (AV) septum out of 40,179 echocardiographic studies performed between 1997 and 2002 at Children’s Hospital, Denver, CO. In this study we describe (1) the anatomic characteristics of the DOMV in the absence of AV septal defect, (2) the function of the mitral valve by spectral and color Doppler flow mapping, and (3) associated lesions. The topographic location of the orifices in the leaflets suggests possible embryologic mechanisms of DOMV. In this series, DOMV was most commonly associated with left-sided obstructive lesions (in 39% of patients). Spectral and color Doppler interrogation demonstrated a normal flow profile in most cases; only 2 patients had significant mitral regurgitation or stenosis. Therefore, due to the uncertain natural history of this lesion and the potential need for endocarditis prophylaxis, careful imaging of the mitral valve is recommended, particularly in the presence of left-sided obstructive lesions.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Echocardiography, Doppler, Color</subject><subject>Female</subject><subject>Heart Septum - diagnostic imaging</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Mitral Valve - abnormalities</subject><subject>Mitral Valve - diagnostic imaging</subject><issn>0894-7317</issn><issn>1097-6795</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UMuO1DAQtBCInV34AQ7IJ24JfiVOEJfVAgvSSlzgbNmdDuNRYg-2M6v9An6bRDMSN06lblVVdxUhbzirOePt-0ONsI-1YEzVXNSM8Wdkx1mvq1b3zXOyY12vKi25viLXOR8YY03H2EtyxRutWs3Fjvz5FBc3YRWTHz0gnX1JdqInO52QPvqypz4UC4Xaknw8YVgBlskmmvFYlvkDvQ10ewNsGnz8lexx74HmsgxPZ70NtsR53dkw0HEJUHwM6wmIIfsBk93m_Iq8GO2U8fUFb8jPL59_3H2tHr7ff7u7fahANqpUbpRWSaedbLHrABl3TK4pnUMAybBTHPrWYaN73nZqlNiPwrlmAAayE4O8Ie_OvscUfy-Yi5l9BpwmGzAu2bRadUL0aiWKMxFSzDnhaI7JzzY9Gc7MVr85mC232eo3XJi1_lX09uK-uBmHf5JL3yvh45mAa8aTx2QyeAyAg08IxQzR_8__L6Wzmsg</recordid><startdate>20050301</startdate><enddate>20050301</enddate><creator>Das, Bibhuti B.</creator><creator>Pauliks, Linda B.</creator><creator>Knudson, Ole A.</creator><creator>Kirby, Scott</creator><creator>Chan, Kak-Chen</creator><creator>Valdes-Cruz, Lilliam</creator><creator>Cayre, Raul O.</creator><general>Mosby, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20050301</creationdate><title>Double-orifice mitral valve with intact atrioventricular septum: An echocardiographic study with anatomic and functional considerations</title><author>Das, Bibhuti B. ; Pauliks, Linda B. ; Knudson, Ole A. ; Kirby, Scott ; Chan, Kak-Chen ; Valdes-Cruz, Lilliam ; Cayre, Raul O.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c354t-bf3a43b7b36e88ce01b03894bbecc30e841c96be5791684f3e9f2bb5dc0c382d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Echocardiography, Doppler, Color</topic><topic>Female</topic><topic>Heart Septum - diagnostic imaging</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Mitral Valve - abnormalities</topic><topic>Mitral Valve - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Das, Bibhuti B.</creatorcontrib><creatorcontrib>Pauliks, Linda B.</creatorcontrib><creatorcontrib>Knudson, Ole A.</creatorcontrib><creatorcontrib>Kirby, Scott</creatorcontrib><creatorcontrib>Chan, Kak-Chen</creatorcontrib><creatorcontrib>Valdes-Cruz, Lilliam</creatorcontrib><creatorcontrib>Cayre, Raul O.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Society of Echocardiography</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Das, Bibhuti B.</au><au>Pauliks, Linda B.</au><au>Knudson, Ole A.</au><au>Kirby, Scott</au><au>Chan, Kak-Chen</au><au>Valdes-Cruz, Lilliam</au><au>Cayre, Raul O.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Double-orifice mitral valve with intact atrioventricular septum: An echocardiographic study with anatomic and functional considerations</atitle><jtitle>Journal of the American Society of Echocardiography</jtitle><addtitle>J Am Soc Echocardiogr</addtitle><date>2005-03-01</date><risdate>2005</risdate><volume>18</volume><issue>3</issue><spage>231</spage><epage>236</epage><pages>231-236</pages><issn>0894-7317</issn><eissn>1097-6795</eissn><abstract>We identified 18 patients with double-orifice mitral valve (DOMV) and intact atrioventricular (AV) septum out of 40,179 echocardiographic studies performed between 1997 and 2002 at Children’s Hospital, Denver, CO. In this study we describe (1) the anatomic characteristics of the DOMV in the absence of AV septal defect, (2) the function of the mitral valve by spectral and color Doppler flow mapping, and (3) associated lesions. The topographic location of the orifices in the leaflets suggests possible embryologic mechanisms of DOMV. In this series, DOMV was most commonly associated with left-sided obstructive lesions (in 39% of patients). Spectral and color Doppler interrogation demonstrated a normal flow profile in most cases; only 2 patients had significant mitral regurgitation or stenosis. Therefore, due to the uncertain natural history of this lesion and the potential need for endocarditis prophylaxis, careful imaging of the mitral valve is recommended, particularly in the presence of left-sided obstructive lesions.</abstract><cop>United States</cop><pub>Mosby, Inc</pub><pmid>15746712</pmid><doi>10.1016/j.echo.2004.12.001</doi><tpages>6</tpages></addata></record> |
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| ispartof | Journal of the American Society of Echocardiography, 2005-03, Vol.18 (3), p.231-236 |
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| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adolescent Adult Child Child, Preschool Echocardiography, Doppler, Color Female Heart Septum - diagnostic imaging Humans Infant Infant, Newborn Male Mitral Valve - abnormalities Mitral Valve - diagnostic imaging |
| title | Double-orifice mitral valve with intact atrioventricular septum: An echocardiographic study with anatomic and functional considerations |
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