Trileaflet Mitral Valve in the Setting of Hypertrophic Cardiomyopathy: A Curious Rarity With a Possible Association

Castellani, C.; Smith, Allister; Mohananey, Divyanshu; Garster, Noelle C.

doi:10.1161/circimaging.121.013772

Circ: Cardiovascular Imaging

2022

DOI: 10.1161/circimaging.121.013772

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Trileaflet Mitral Valve in the Setting of Hypertrophic Cardiomyopathy: A Curious Rarity With a Possible Association

C. Castellani

Allister Smith

Divyanshu Mohananey

et al.

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2024

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Tri-leaflet mitral valve in hypertrophic obstructive cardiomyopathy

Alexandre,

Dias-Frias,

Brochado

et al. 2024

Indian J Thorac Cardiovasc Surg

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A tri-leaflet mitral valve (MV) is an extremely rare phenomenon, often associated with significant mitral regurgitation (MR). It may represent a phenotypic expression of hypertrophic obstructive cardiomyopathy (HOCM). We present the case of a 69-year-old woman with HOCM, a tri-leaflet MV, and systolic anterior motion (SAM)–induced severe MR. Despite receiving optimal medical therapy, her refractory symptoms and significant MR prompted surgical consideration. The patient underwent surgical myectomy, resulting in improvement of left ventricular outflow tract obstruction, SAM-induced MR, and symptomatic relief. This case illustrates a unique presentation of HOCM with a tri-leaflet MV and significant MR, successfully managed with a tailored surgical myectomy.

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Tri-leaflet mitral valve in hypertrophic obstructive cardiomyopathy

Alexandre,

Dias-Frias,

Brochado

et al. 2024

Indian J Thorac Cardiovasc Surg

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Trileaflet Mitral Valve in the Setting of Hypertrophic Cardiomyopathy: A Curious Rarity With a Possible Association

Cited by 1 publication

References 4 publications

Tri-leaflet mitral valve in hypertrophic obstructive cardiomyopathy

Tri-leaflet mitral valve in hypertrophic obstructive cardiomyopathy

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