RESUMEN
Mitral arcade (MA) is a rare congenital anomaly of the mitral valve and its tensor apparatus. This condition has been reported primarily in children younger than 3 years of age. MA is characterized by elongated papillary muscles connected to each other and to the tip of anterior mitral leaflet by a bridge of fibrous tissue. Because of progressive mitral regurgitation and/or mitral stenosis, survival into adulthood is rare. Not much is known about MA in the adult population. In this review we address the demographic features, clinical presentation, diagnosis, treatment, and outcome of this congenital anomaly in adult patients.
Asunto(s)
Ecocardiografía/estadística & datos numéricos , Insuficiencia de la Válvula Mitral/diagnóstico por imagen , Insuficiencia de la Válvula Mitral/mortalidad , Estenosis de la Válvula Mitral/diagnóstico por imagen , Estenosis de la Válvula Mitral/mortalidad , Válvula Mitral/anomalías , Válvula Mitral/diagnóstico por imagen , Adolescente , Adulto , Anciano , Comorbilidad , Femenino , Humanos , Incidencia , Masculino , Enfermedades Raras/diagnóstico por imagen , Enfermedades Raras/epidemiologíaRESUMEN
We describe a 38-year-old Middle Eastern woman with a long history of multiple cardiac surgical procedures for mitral valve disease who presented with intractable heart failure from severe mitral paravalvular regurgitation requiring multiple medical admissions since 2019. She was deemed a very high surgical risk and was treated successfully with a percutaneous technique. (Level of Difficulty: Advanced.).