N. Ciampani et al., THE TENSOR APPARATUS IN DOUBLE-ORIFICE MITRAL-VALVE - INTERPRETATION OF ECHOCARDIOGRAPHIC FINDINGS, Journal of the American Society of Echocardiography, 10(8), 1997, pp. 869-873
We describe a rare case of double-orifice mitral valve discovered with
echocardiography. The tensor apparatus composed of four papillary mus
cles and anomalous attachment of chordae tendineae represents the main
findings. Two supernumerary muscles in combination with the altered c
hordal insertion on the central portion of the anterior mitral leaflet
are responsible for the V-shaped (''seagull wing'') and spectacle-lik
e features of the mitral valve in the short-axis view. These altogethe
r allow precise identification of this congenital malformation.