A rare case of quadrileaflet mitral valve and ostium primum atrial septal defect

Echocardiography. 2021 May;38(5):767-771. doi: 10.1111/echo.15041. Epub 2021 Mar 28.

Abstract

A 60-year-old woman was referred to our clinic for evaluation of her rapidly progressive dyspnea, and she had no previous history of heart disease. A murmur was noted on her examination, and transthoracic echocardiography was so difficult to be performed due to poor acoustic windows so she was referred to do a transesophageal echocardiography that showed an ostium primum atrial septal defect (ASD) with left-to-right shunt and a quadrileaflet mitral valve with severe regurgitation. Later on, she underwent surgery with ostium primum ASD closure by a patch and double cleft repair by suture after right heart catheterization.

Keywords: atrial septal defect; congenital heart defects; echocardiography; mitral valve; three-dimensional echocardiography.

Publication types

  • Case Reports

MeSH terms

  • Cardiac Catheterization
  • Echocardiography
  • Echocardiography, Transesophageal
  • Female
  • Heart Septal Defects, Atrial* / diagnosis
  • Heart Septal Defects, Atrial* / diagnostic imaging
  • Humans
  • Middle Aged
  • Mitral Valve* / diagnostic imaging
  • Mitral Valve* / surgery