Incomplete Shone’s complex in the sixth decade of life: echo and cardiac magnetic resonance imaging assessment

A 51-year-old woman was referred to the Cardiology outpatient clinic for a murmur. She was asympthomatic. Transthoracic echocardiogram showed a parachute mitral valve ( Panel s 1A – C and 2A ), with anomalous and elongated chordae converging into a major papillary muscle (posteromedial) with two heads ( Panel s 1B and 2B , see Supplementary material online, Videos S 1 –S 3 ). Transmitral gradient was normal, and non-significant mitral …