{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:05:46Z","timestamp":1756339546109,"version":"3.44.0"},"reference-count":10,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,12,7]]},"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:p>Double orifice mitral valve (DOMV) is an extremely rare congenital anomaly of the mitral valve (MV) wherein the MV orifice divides into two separate orifices by an accessory fibrous band.Isolated DOMV is a rarity and is often discovered incidentally. It may be associated with other congenital conditions wherein it is identified in early childhood. Its prevalence and prognostic relevance in adulthood remain unclear. DOMV patients may be asymptomatic or have symptoms due to mitral stenosis or regurgitation. We present a case of an asymptomatic young adult initially diagnosed with rheumatic mitral stenosis. However, after a thorough echocardiographic assessment, including three-dimensional transesophageal echocardiography, the accurate diagnosis of DOMV was made.<\/jats:p>","DOI":"10.1136\/bcr-2023-258918","type":"journal-article","created":{"date-parts":[[2023,12,19]],"date-time":"2023-12-19T12:40:51Z","timestamp":1702989651000},"page":"e258918","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Role of 3D transoesophageal echocardiography in correct diagnosis of congenital isolated double orifice mitral valve in a young adult misdiagnosed as rheumatic heart disease"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6864-4297","authenticated-orcid":false,"given":"Digvijay","family":"Nalawade","sequence":"first","affiliation":[{"name":"Cardiology, Dr D Y Patil Medical College Hospital and Research Centre, Pimpri-Chinchwad, Pune, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susheel Kumar","family":"Malani","sequence":"additional","affiliation":[{"name":"Cardiology, Dr D Y Patil Medical College Hospital and Research Centre, Pimpri-Chinchwad, Pune, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sridevi","family":"Chigullapalli","sequence":"additional","affiliation":[{"name":"Cardiology, Dr D Y Patil Medical College Hospital and Research Centre, Pimpri-Chinchwad, Pune, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-2271-8630","authenticated-orcid":false,"given":"Prakash","family":"Chaudhary","sequence":"additional","affiliation":[{"name":"Cardiology, Dr D Y Patil Medical College Hospital and Research Centre, Pimpri-Chinchwad, Pune, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,12,19]]},"reference":[{"key":"2025082710263790000_16.12.e258918.1","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1016\/j.case.2023.02.002","article-title":"Isolated double orifice mitral valve in a patient with autosomal dominant polycystic kidney disease","volume":"7","author":"Digrande","year":"2023","journal-title":"CASE (Phila)"},{"key":"2025082710263790000_16.12.e258918.2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(88)91322-7"},{"key":"2025082710263790000_16.12.e258918.3","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(99)80357-9"},{"key":"2025082710263790000_16.12.e258918.4","doi-asserted-by":"crossref","DOI":"10.3389\/fcvm.2022.1091201","article-title":"Case report: echocardiographic diagnosis of double orifice mitral valve in an asymptomatic woman","volume":"9","author":"Deng","year":"2022","journal-title":"Front Cardiovasc Med"},{"key":"2025082710263790000_16.12.e258918.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(85)80176-5"},{"key":"2025082710263790000_16.12.e258918.6","doi-asserted-by":"crossref","DOI":"10.1093\/eurheartj\/ehab404","article-title":"Isolated double-orifice mitral valve: an atypical morphology in adult patient","volume":"43","author":"Malagoli","year":"2022","journal-title":"Eur Heart J"},{"key":"2025082710263790000_16.12.e258918.7","doi-asserted-by":"crossref","DOI":"10.21037\/acr-22-52","article-title":"Double orifice mitral valve: a report of two cases with different severity and treatment","volume":"7","author":"Theerasuwipakorn","year":"2023","journal-title":"AME Case Rep"},{"key":"2025082710263790000_16.12.e258918.8","doi-asserted-by":"crossref","first-page":"31","DOI":"10.21037\/acr-23-49","article-title":"Double orifice mitral valve: rare disease with a wide range of presentation","volume":"7","author":"Baig","year":"2023","journal-title":"AME Case Rep"},{"key":"2025082710263790000_16.12.e258918.9","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1016\/j.ijcard.2014.12.161","article-title":"Lovely heart in a heart; double orifice mitral valve in an adult","volume":"182","author":"Yilmaz","year":"2015","journal-title":"Int J Cardiol"},{"key":"2025082710263790000_16.12.e258918.10","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1016\/j.jicc.2016.05.001","article-title":"Pseudo-double orifice mitral valve or heart in heart mitral valve","volume":"6","author":"Panneerselvam","year":"2016","journal-title":"J Indian Coll Cardiol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-258918","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:26:45Z","timestamp":1756315605000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-258918"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12]]},"references-count":10,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2023,12,19]]},"published-print":{"date-parts":[[2023,12]]}},"alternative-id":["10.1136\/bcr-2023-258918"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-258918","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2023,12]]}}}