Tri-leaflet mitral valve anatomy: a rare occurrence leading to severe mitral valve regurgitation

A 61-year-old male patient was referred to our clinic for acute cardiac decompensation (NYHA III). Associated comorbidities included chronic renal failure, type II diabetes, systemic arterial hypertension, and obesity. A transthoracic echocardiography was followed by a trans -oesophageal investigation that confirmed a preserved LVEF with …