# Non-syndromic Parachute Mitral Valve “When the Valve Dives in”: Case Report and Review of the Literature

**Authors:** Ahmad Damlakhy, Angelo A Messina Alvarez, Robert H Martin, Arif H Hakim, Ramegowda Rajagopal

PMC · DOI: 10.7759/cureus.52805 · Cureus · 2024-01-23

## TL;DR

This paper reports a case of a 62-year-old woman with a rare heart valve condition called parachute mitral valve and reviews related medical literature.

## Contribution

The paper presents a new case of non-syndromic parachute mitral valve in an adult and discusses its clinical implications.

## Key findings

- A 62-year-old female was found to have a parachute mitral valve during an echocardiogram.
- PMV may increase the risk of infective endocarditis due to turbulent blood flow.
- The case highlights the need for reconsidering antibiotic prophylaxis guidelines for certain heart valve anomalies.

## Abstract

A parachute mitral valve (PMV) is a congenital mitral valve anomaly diagnosed in infancy, and it can also be discovered in adults during echocardiography. Surgical management is common in infants to prevent complications from left-heart obstructions. In adults, PMV may be found independently or with other cardiac defects. Prophylactic antibiotics are recommended for certain congenital heart anomalies before dental procedures. A study suggests reconsidering guidelines to include anomalies like bicuspid aortic valve and MVP for antibiotic prophylaxis. PMV, with transvalvular blood flow turbulence, may increase the risk of infective endocarditis, as seen in a reported case with a parachute-like mitral valve. Here, we present the case of a 62-year-old female incidentally found to have a PMV during an echocardiogram.

## Linked entities

- **Diseases:** infective endocarditis (MONDO:0000565)

## Full-text entities

- **Diseases:** congenital heart anomalies (OMIM:600001), left-heart obstructions (MESH:D018636), infective endocarditis (MESH:D004696), MVP (OMIM:157700), cardiac defects (MESH:D006331), bicuspid aortic valve (MESH:D000082882), PMV (MESH:D008944)

## Full text

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## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC10883408/full.md

## References

16 references — full list in the complete paper: https://tomesphere.com/paper/PMC10883408/full.md

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Source: https://tomesphere.com/paper/PMC10883408