General Thoracic and Cardiovascular Surgery

, Volume 65, Issue 11, pp 650–652 | Cite as

Challenging mitral valve repair for double-orifice mitral valve with noncompaction of left ventricular myocardium

  • Manabu Yamasaki
  • Hiroyasu Misumi
  • Kohei Abe
  • Kohei Kawazoe
Case Report

Abstract

Double-orifice mitral valve (DOMV) is a relatively rare cardiac anomaly. Although usually associated with various cardiac anomalies, co-presence of DOMV and noncompaction of left ventricular myocardium (NCLVM) is extremely rare. Here, we present a 24-year-old male who underwent mitral valve repair using artificial chordae and annuloplasty at the posterior commissure for severe mitral regurgitation (MR), resulting from flail anterior leaflet of the larger postero-medial orifice and dilatation of left ventricle with NCLVM. One year later, he underwent second mitral valve repair for recurrence of MR. Further endoscopic evaluation of the left ventricle, and reinforcement via artificial ring, enabled us to achieve repair.

Keywords

Mitral valve repair Mitral regurgitation Double orifice 

Notes

Compliance with ethical standards

Conflict of interest

Authors have nothing to disclose with regard to commercial support.

References

  1. 1.
    Zalzstein E, Hamilton R, Zucker N, Levitas A, Gross GJ. Presentation, natural history, and outcome in children and adolescents with double orifice mitral valve. Am J Cardiol. 2004;93:1067–9.CrossRefPubMedGoogle Scholar
  2. 2.
    Bano-Rodrigo A, Van Praagh S, Trowitzsch E, Van Praagh R. Double orifice mitral valve: a study of 27 post-mortem cases with developmental, diagnostic and surgical considerations. Am J Cardiol. 1988;61:152–60.CrossRefPubMedGoogle Scholar
  3. 3.
    Kay JH, Egerton WS. The repair of mitral insufficiency associated with ruptured chordae tendineae. Ann Surg. 1963;157:351–60.CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Bortolotti U, Milano AD, Frater RW. Mitral valve repair with artificial chordae: a review of its history, technical details, long-term results, and pathology. Ann Thorac Surg. 2012;93:684–91.CrossRefPubMedGoogle Scholar
  5. 5.
    Tani T, Kim K, Fujii Y, Komori S, Okada Y, Kita T, Furukawa Y. Mitral valve repair for double-orifice mitral valve with flail leaflet: the usefulness of real-time three-dimensional transesophageal echocardiography. Ann Thorac Surg. 2012;93:e97–e8.CrossRefPubMedGoogle Scholar
  6. 6.
    Stacey RB, Haag J, Hall ME, et al. Mitral regurgitation in left ventricular noncompaction cardiomyopathy assessed by cardiac MRI. J Heart Valve Dis. 2014;23(5):591–7.PubMedGoogle Scholar
  7. 7.
    Carpentier, A. (1969). Reconstructive valvuloplasty. A new technique of mitral valvuloplasty. Presse Med 1969;77(7): 251–253.Google Scholar
  8. 8.
    Nardi P, Pellegrino A, Olevano C, et al. Mitral valve repair for the treatment of degenerative mitral valve disease with or without prosthetic ring annuloplasty: long-term outcomes. J Card Surg. 2013;26(4):360–6.CrossRefGoogle Scholar

Copyright information

© The Japanese Association for Thoracic Surgery 2017

Authors and Affiliations

  • Manabu Yamasaki
    • 1
  • Hiroyasu Misumi
    • 1
  • Kohei Abe
    • 1
  • Kohei Kawazoe
    • 1
  1. 1.Department of Cardiovascular SurgerySt. Luke’s International HospitalTokyoJapan

Personalised recommendations