Multidetector CT presentation of a parachute-like asymmetric mitral valve
British Journal of Radiology, cilt.81, sa.971, 2008 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 81 Sayı: 971
- Basım Tarihi: 2008
- Doi Numarası: 10.1259/bjr/20218809
- Dergi Adı: British Journal of Radiology
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
A 24-year-old man with a complaint of exertional dyspnoea had a Grade III/VI apical pansystolic murmur on physical examination. He underwent a transthoracic echocardiogram, which revealed a funnel-shaped mitral valve with moderately thick leaflet tissue and an eccentric orifice, as well as a bicuspid aortic valve. The mitral valve was mildly stenotic and severely regurgitant. Although demonstration of a single papillary muscle in the parasternal short axis view suggested a parachute mitral valve, the diagnosis was uncertain owing to poor echocardiographic acoustic quality. 16-row multidetector CT (MDCT) clearly demonstrated two papillary muscles and the patient was diagnosed as having a parachute-like asymmetric mitral valve. In conclusion, MDCT can be used as a complementary imaging technique for the evaluation of subvalvular mitral apparatus and papillary muscles, especially in patients with poor echocardiographic acoustic quality. © 2008 The British Institute of Radiology.