‘Parachute’ accessory mitral leaflet and pulmonary valve stenosis in an asymptomatic 85-year-old man

An 85-year-old man underwent transthoracic echocardiography. Anamnesis included hypertension and mild chronic obstructive pulmonary disease. At the age of 18, he had been dispensed from the military service because of a cardiac murmur. Since then, he had not undergone cardiac testing and had been absolutely asymptomatic. Transthoracic echocardiography showed a moderately dilated, hypertrophic left …