%0 Case Reports
%T Congenital double mitral orifice with severe mitral regurgitation-associated rheumatoid arthritis: a case report.
%A Natraj Setty HSS
%A Shankar S
%A Yeriswamy MC
%A Manjunath CN
%J Eur Heart J Case Rep
%V 4
%N 4
%D Aug 2020
%M 32974432
暂无%R 10.1093/ehjcr/ytaa119
%X <B>UNASSIGNED: </B>A double orifice mitral valve (DOMV) represents a rare congenital malformation characterized by two valve orifices with two separate subvalvular apparatus. Double orifice mitral valve is congenital anomaly of the subvalvular mitral valve apparatus consisting of an accessory bridge of fibrous tissue, which partially or completely divides the mitral valve into two orifices.<BR><B>UNASSIGNED: </B>A 30-year young male presented with dyspnoea and palpitation for 4 years, joint pain for 2 years and weakness of right upper limb and lower limb for 6 months. On clinical examination, Boutonniere, Swan neck, and Z-deformity of hand and foot metatarsal bone deformities are noted, on further evaluation, patient was diagnosed as a case of DOMV and was managed conservatively since patient was not willing for surgery.<BR><B>UNASSIGNED: </B>Two-dimensional echocardiography is the best detection method, the parasternal short-axis view being most useful to show DOMV.