Prenatal diagnosis of accessory mitral valve tissue in a fetus with persistent dysrhythmia

Abstract Background Accessory mitral valve tissue (AMVT) is a rare congenital cardiac anomaly that mainly diagnosed in the first decade of life. However, asymptomatic cases may not be diagnosed even up to adulthood. We report a fetus with AMVT to show the diagnostic ability of the fetal echocardiogr...

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Main Authors: Mohammad Nasir Hematian, Shirin Torabi, Sedigheh Hantoushzadeh, Alireza Dehestani, Minoo Dadkhah, Reza Shabanian
Format: Article
Language:English
Published: SpringerOpen 2022-04-01
Series:The Egyptian Heart Journal
Subjects:
Online Access:https://doi.org/10.1186/s43044-022-00263-z
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author Mohammad Nasir Hematian
Shirin Torabi
Sedigheh Hantoushzadeh
Alireza Dehestani
Minoo Dadkhah
Reza Shabanian
author_facet Mohammad Nasir Hematian
Shirin Torabi
Sedigheh Hantoushzadeh
Alireza Dehestani
Minoo Dadkhah
Reza Shabanian
author_sort Mohammad Nasir Hematian
collection DOAJ
description Abstract Background Accessory mitral valve tissue (AMVT) is a rare congenital cardiac anomaly that mainly diagnosed in the first decade of life. However, asymptomatic cases may not be diagnosed even up to adulthood. We report a fetus with AMVT to show the diagnostic ability of the fetal echocardiography for detection of this pathology in the prenatal period. Case presentation AMVT was diagnosed in a 26-week-old male fetus with persistent dysrhythmia. Dysrhythmia could not be aborted and controlled by sotalol till the third trimester evaluation. Apical left ventricular (LV) diverticulum was the additional finding in his fetal echocardiogram. After birth, he was in sinus rhythm and echocardiography confirmed the presence of AMVT, however, without any evidence of LV apical diverticulum. Conclusions The diagnosis of AMVT in the prenatal period is possible by fetal echocardiography.
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spelling doaj.art-a7e13a85266847f2a5cc929fdde5f2672022-12-22T01:51:27ZengSpringerOpenThe Egyptian Heart Journal2090-911X2022-04-017411410.1186/s43044-022-00263-zPrenatal diagnosis of accessory mitral valve tissue in a fetus with persistent dysrhythmiaMohammad Nasir Hematian0Shirin Torabi1Sedigheh Hantoushzadeh2Alireza Dehestani3Minoo Dadkhah4Reza Shabanian5Department of Pediatric Cardiology, Yas Hospital Complex, Tehran University of Medical SciencesDepartment of Obstetrics and Gynecology, Vali-Asr Hospital, Tehran University of Medical SciencesValiasr Maternal, Fetal and Neonatal Research Center, Tehran University of Medical SciencesDepartment of Pediatric Cardiac Surgery, Children’s Medical Center, Tehran University of Medical SciencesDepartment of Pediatric Cardiology, Baharloo Hospital, Tehran University of Medical SciencesDepartment of Pediatric Cardiology, Children’s Medical Center, Tehran University of Medical SciencesAbstract Background Accessory mitral valve tissue (AMVT) is a rare congenital cardiac anomaly that mainly diagnosed in the first decade of life. However, asymptomatic cases may not be diagnosed even up to adulthood. We report a fetus with AMVT to show the diagnostic ability of the fetal echocardiography for detection of this pathology in the prenatal period. Case presentation AMVT was diagnosed in a 26-week-old male fetus with persistent dysrhythmia. Dysrhythmia could not be aborted and controlled by sotalol till the third trimester evaluation. Apical left ventricular (LV) diverticulum was the additional finding in his fetal echocardiogram. After birth, he was in sinus rhythm and echocardiography confirmed the presence of AMVT, however, without any evidence of LV apical diverticulum. Conclusions The diagnosis of AMVT in the prenatal period is possible by fetal echocardiography.https://doi.org/10.1186/s43044-022-00263-zAccessory mitral valve tissueDiverticulumFetal echocardiographyDysrhythmiaExtrasystole
spellingShingle Mohammad Nasir Hematian
Shirin Torabi
Sedigheh Hantoushzadeh
Alireza Dehestani
Minoo Dadkhah
Reza Shabanian
Prenatal diagnosis of accessory mitral valve tissue in a fetus with persistent dysrhythmia
The Egyptian Heart Journal
Accessory mitral valve tissue
Diverticulum
Fetal echocardiography
Dysrhythmia
Extrasystole
title Prenatal diagnosis of accessory mitral valve tissue in a fetus with persistent dysrhythmia
title_full Prenatal diagnosis of accessory mitral valve tissue in a fetus with persistent dysrhythmia
title_fullStr Prenatal diagnosis of accessory mitral valve tissue in a fetus with persistent dysrhythmia
title_full_unstemmed Prenatal diagnosis of accessory mitral valve tissue in a fetus with persistent dysrhythmia
title_short Prenatal diagnosis of accessory mitral valve tissue in a fetus with persistent dysrhythmia
title_sort prenatal diagnosis of accessory mitral valve tissue in a fetus with persistent dysrhythmia
topic Accessory mitral valve tissue
Diverticulum
Fetal echocardiography
Dysrhythmia
Extrasystole
url https://doi.org/10.1186/s43044-022-00263-z
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