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    A rare case of quadrileaflet mitral valve and ostium primum atrial septal defect
    (Wiley, 2021) Fiore, Corrado; Kemaloğlu Öz, Tuğba; Lombardi, Luigi; Sinani, Rebani; Gregorini, Renato; Almaghraby, Abdallah
    A 60-year-old woman was referred to our clinic for evaluation of her rapidly progressive dyspnea, and she had no previous history of heart disease. A murmur was noted on her examination, and transthoracic echocardiography was so difficult to be performed due to poor acoustic windows so she was referred to do a transesophageal echocardiography that showed an ostium primum atrial septal defect (ASD) with left-to-right shunt and a quadrileaflet mitral valve with severe regurgitation. Later on, she underwent surgery with ostium primum ASD closure by a patch and double cleft repair by suture after right heart catheterization.