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A rare cause of severe mitral regurgitation: mitral valve aneurysm.
Turk Kardiyol Dern Ars. 2011 Dec; 39(8):690-2.TK

Abstract

Perforation of a mitral valve aneurysm is a rare cause of acute mitral regurgitation, and valvular aneurysm formation and its rupture without infectious involvement are unusual. An 80-year-old man was admitted with acute onset and progressive dyspnea. He had no history of chest pain, palpitation, or fever. Laboratory findings did not suggest any signs of infection. Transthoracic echocardiography revealed an aneurysm of the mitral septal leaflet protruding into the left atrium during systole and color-flow Doppler ultrasonography showed severe mitral regurgitation. There was no aortic regurgitation nor evidence for rheumatic involvement of the valvular structures. Pulmonary artery systolic pressure estimated from the tricuspid regurgitation jet was 50 mmHg. Transesophageal echocardiography showed a saccular, thin-walled, mitral valve aneurysm on the atrial surface, expanding during systole and a small tissue defect on the aneurysmatic segment of the mitral leaflet. There were no signs of connective tissue disease. The patient was submitted to surgery. The aneurysmatic and perforated parts on the septal leaflet were resected and an annuloplasty ring was placed. The histopathological examination of the mitral valve tissue showed nonspecific degenerative changes. The postoperative period was uneventful and the patient was discharged on the fifth postoperative day.

Authors+Show Affiliations

Department of Cardiology, Kartal Koşuyolu Heart and Research Hospital, İstanbul, Turkey. ahmetguler01@yahoo.com.trNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

22257809

Citation

Güler, Ahmet, et al. "A Rare Cause of Severe Mitral Regurgitation: Mitral Valve Aneurysm." Turk Kardiyoloji Dernegi Arsivi : Turk Kardiyoloji Derneginin Yayin Organidir, vol. 39, no. 8, 2011, pp. 690-2.
Güler A, Hatipoğlu S, Karabay CY, et al. A rare cause of severe mitral regurgitation: mitral valve aneurysm. Turk Kardiyol Dern Ars. 2011;39(8):690-2.
Güler, A., Hatipoğlu, S., Karabay, C. Y., & Kırma, C. (2011). A rare cause of severe mitral regurgitation: mitral valve aneurysm. Turk Kardiyoloji Dernegi Arsivi : Turk Kardiyoloji Derneginin Yayin Organidir, 39(8), 690-2. https://doi.org/10.5543/tkda.2011.01671
Güler A, et al. A Rare Cause of Severe Mitral Regurgitation: Mitral Valve Aneurysm. Turk Kardiyol Dern Ars. 2011;39(8):690-2. PubMed PMID: 22257809.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A rare cause of severe mitral regurgitation: mitral valve aneurysm. AU - Güler,Ahmet, AU - Hatipoğlu,Suzan, AU - Karabay,Can Yücel, AU - Kırma,Cevat, PY - 2012/1/20/entrez PY - 2012/1/20/pubmed PY - 2012/5/18/medline SP - 690 EP - 2 JF - Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir JO - Turk Kardiyol Dern Ars VL - 39 IS - 8 N2 - Perforation of a mitral valve aneurysm is a rare cause of acute mitral regurgitation, and valvular aneurysm formation and its rupture without infectious involvement are unusual. An 80-year-old man was admitted with acute onset and progressive dyspnea. He had no history of chest pain, palpitation, or fever. Laboratory findings did not suggest any signs of infection. Transthoracic echocardiography revealed an aneurysm of the mitral septal leaflet protruding into the left atrium during systole and color-flow Doppler ultrasonography showed severe mitral regurgitation. There was no aortic regurgitation nor evidence for rheumatic involvement of the valvular structures. Pulmonary artery systolic pressure estimated from the tricuspid regurgitation jet was 50 mmHg. Transesophageal echocardiography showed a saccular, thin-walled, mitral valve aneurysm on the atrial surface, expanding during systole and a small tissue defect on the aneurysmatic segment of the mitral leaflet. There were no signs of connective tissue disease. The patient was submitted to surgery. The aneurysmatic and perforated parts on the septal leaflet were resected and an annuloplasty ring was placed. The histopathological examination of the mitral valve tissue showed nonspecific degenerative changes. The postoperative period was uneventful and the patient was discharged on the fifth postoperative day. SN - 1016-5169 UR - https://www.unboundmedicine.com/medline/citation/22257809/A_rare_cause_of_severe_mitral_regurgitation:_mitral_valve_aneurysm_ L2 - https://www.journalagent.com/pubmed/linkout.asp?ISSN=1016-5169&PMID=22257809 DB - PRIME DP - Unbound Medicine ER -