Left Ventricle Outflow Obstruction by Reverse-Oriented Tricuspid Semilunar Valve-Like Endocardial Duplicatures

A 57-year-old female had a history of hypertension disease, and one year before her death, her ECG showed signs of left ventricle hypertrophy. She died with signs of heart failure with pulmonary edema development. At autopsy, there was left ventricle hypertrophy (wall thickness: 21 mm). In the left...

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Main Authors: Kristína Mikuš-Kuracinová, Pavel Babál, Eliška Kubíková
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2018/2403806
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author Kristína Mikuš-Kuracinová
Pavel Babál
Eliška Kubíková
author_facet Kristína Mikuš-Kuracinová
Pavel Babál
Eliška Kubíková
author_sort Kristína Mikuš-Kuracinová
collection DOAJ
description A 57-year-old female had a history of hypertension disease, and one year before her death, her ECG showed signs of left ventricle hypertrophy. She died with signs of heart failure with pulmonary edema development. At autopsy, there was left ventricle hypertrophy (wall thickness: 21 mm). In the left ventricle outflow channel, 15 mm below the aortic valve on the muscular wall, there were three white 1–1.5 mm thick membranous semilunar valve-like structures with the sizes of 9, 7, and 5 mm, with concavities opened into the left ventricle, reducing the outflow area by 21.5%. These structures were hanging on the regular muscular ventricular wall, without any visible fibrous anchoring structure and without formation of commissures, and were composed of fine collagen and elastic fibers. Gross anatomy as well as histological structure was different from the subaortic membrane. The reported accessory reverse-oriented tricuspid semilunar valve-like structure is an unusual finding of a structure in the left ventricular outflow tract, to which we could not find an analogy in the available literature.
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issn 2090-6404
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publishDate 2018-01-01
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series Case Reports in Cardiology
spelling doaj-art-f4388a119e43421c88b1d6595c869e6a2025-02-03T05:59:28ZengWileyCase Reports in Cardiology2090-64042090-64122018-01-01201810.1155/2018/24038062403806Left Ventricle Outflow Obstruction by Reverse-Oriented Tricuspid Semilunar Valve-Like Endocardial DuplicaturesKristína Mikuš-Kuracinová0Pavel Babál1Eliška Kubíková2Department of Pathology and Institute of Anatomy, Comenius University Faculty of Medicine Bratislava, Sasinkova 4, 81372 Bratislava, SlovakiaDepartment of Pathology and Institute of Anatomy, Comenius University Faculty of Medicine Bratislava, Sasinkova 4, 81372 Bratislava, SlovakiaDepartment of Pathology and Institute of Anatomy, Comenius University Faculty of Medicine Bratislava, Sasinkova 4, 81372 Bratislava, SlovakiaA 57-year-old female had a history of hypertension disease, and one year before her death, her ECG showed signs of left ventricle hypertrophy. She died with signs of heart failure with pulmonary edema development. At autopsy, there was left ventricle hypertrophy (wall thickness: 21 mm). In the left ventricle outflow channel, 15 mm below the aortic valve on the muscular wall, there were three white 1–1.5 mm thick membranous semilunar valve-like structures with the sizes of 9, 7, and 5 mm, with concavities opened into the left ventricle, reducing the outflow area by 21.5%. These structures were hanging on the regular muscular ventricular wall, without any visible fibrous anchoring structure and without formation of commissures, and were composed of fine collagen and elastic fibers. Gross anatomy as well as histological structure was different from the subaortic membrane. The reported accessory reverse-oriented tricuspid semilunar valve-like structure is an unusual finding of a structure in the left ventricular outflow tract, to which we could not find an analogy in the available literature.http://dx.doi.org/10.1155/2018/2403806
spellingShingle Kristína Mikuš-Kuracinová
Pavel Babál
Eliška Kubíková
Left Ventricle Outflow Obstruction by Reverse-Oriented Tricuspid Semilunar Valve-Like Endocardial Duplicatures
Case Reports in Cardiology
title Left Ventricle Outflow Obstruction by Reverse-Oriented Tricuspid Semilunar Valve-Like Endocardial Duplicatures
title_full Left Ventricle Outflow Obstruction by Reverse-Oriented Tricuspid Semilunar Valve-Like Endocardial Duplicatures
title_fullStr Left Ventricle Outflow Obstruction by Reverse-Oriented Tricuspid Semilunar Valve-Like Endocardial Duplicatures
title_full_unstemmed Left Ventricle Outflow Obstruction by Reverse-Oriented Tricuspid Semilunar Valve-Like Endocardial Duplicatures
title_short Left Ventricle Outflow Obstruction by Reverse-Oriented Tricuspid Semilunar Valve-Like Endocardial Duplicatures
title_sort left ventricle outflow obstruction by reverse oriented tricuspid semilunar valve like endocardial duplicatures
url http://dx.doi.org/10.1155/2018/2403806
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AT eliskakubikova leftventricleoutflowobstructionbyreverseorientedtricuspidsemilunarvalvelikeendocardialduplicatures