Uni-leaflet mitral valve associated with bicuspid aortic valve

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Sousa Almeida, J. Matos Costa" "autores" => array:2 [ 0 => array:2 [ "nombre" => "R." "apellidos" => "Sousa Almeida" ] 1 => array:2 [ "nombre" => "J." 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Gaitan Roman, A. Aviles-Toscano, R. Vivancos Delgado" "autores" => array:3 [ 0 => array:2 [ "nombre" => "D." "apellidos" => "Gaitan Roman" ] 1 => array:4 [ "nombre" => "A." "apellidos" => "Aviles-Toscano" "email" => array:1 [ 0 => "aavilestoscano@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 2 => array:2 [ "nombre" => "R." "apellidos" => "Vivancos Delgado" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Cardiología, Hospital Regional Universitario de Málaga, Málaga, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Válvula mitral unicúspide asociada a válvula aórtica bicúspide" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1912 "Ancho" => 1916 "Tamanyo" => 281435 ] ] ] ] "textoCompleto" => "We present the case of a 39-year-old man with no history of interest, referred to cardiology for an examination of a diastolic murmur identified during a routine examination. The patient was asymptomatic and had no signs of heart failure. The transthoracic echocardiography revealed a mitral valve with an elongated and slightly thickened anterior leaflet that covered virtually the entire mitral annular plane (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A), with no contribution from the severely hypoplastic posterior leaflet. No associated regurgitation was observed. The apical plane showed a slightly dilated left ventricle with preserved systolic function (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>C) and 2 completely developed papillary muscles (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B). The 3D transesophageal study revealed a type 1 bicuspid aortic valve with thickening of both leaflets and associated moderate aortic regurgitation (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>D).<elsevierMultimedia ident="fig0005"></elsevierMultimedia>Congenital mitral valve defects are extremely rare, the rarest of which is the unileaflet mitral valve. Of the 12 cases described in the literature, most are due to hypoplasia of the posterior leaflet. This is the first case to have an associated bicuspid aortic valve." "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2018-01-22" "fechaAceptado" => "2018-02-27" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "Please cite this article as: Roman DG, Aviles-Toscano A, Delgado RV. Válvula mitral unicúspide asociada a válvula aórtica bicúspide. Rev Clin Esp. 2018;218:318–319." ] ] "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1912 "Ancho" => 1916 "Tamanyo" => 281435 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22548874/0000021800000006/v1_201807300403/S2254887418300821/v1_201807300403/en/main.assets" "Apartado" => array:4 [ "identificador" => "71811" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Medicine in images" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/22548874/0000021800000006/v1_201807300403/S2254887418300821/v1_201807300403/en/main.pdf?idApp=WRCEE&text.app=https://www.revclinesp.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887418300821?idApp=WRCEE"]

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