Key result
A 30-year-old male with a rare double orifice mitral valve and rheumatoid arthritis was diagnosed via two-dimensional echocardiography and managed conservatively.
Case Report (n=1)
Two-dimensional echocardiography is the optimal imaging modality for detecting double orifice mitral valve, a rare congenital anomaly.
May aid rare mitral anomaly diagnosis via echocardiography; leaves open optimal management and rheumatoid arthritis associations.
BACKGROUND: 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. CASE SUMMARY: 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. DISCUSSION: Two-dimensional echocardiography is the best detection method, the parasternal short-axis view being most useful to show DOMV.
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Setty et al. (2020) conducted a case report in Double orifice mitral valve and rheumatoid arthritis (n=1). Conservative management was evaluated. A 30-year-old male with a rare double orifice mitral valve and rheumatoid arthritis was diagnosed via two-dimensional echocardiography and managed conservatively.
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