Severe mitral regurgitation due to perforation of the posterior mitral leaflet
DOI:
https://doi.org/10.37615/retic.n2a4Keywords:
aortic endocarditis, pseudoaneurysm, 3D-echocardiography, cardiac CT.Abstract
A 44 year-old woman developed severe respiratory failure and causes cardiopulmonary arrest and was admitted to ICU with multiorganic failure. In the following days presented fever and a new cardiac murmur. The transesophageal echocardiogram shows a perforation of the P1 segment of the posterior leaflet that causes a severe mitral regurgitation. The perforation was attributed to complicated infective endocarditis and leaded to the indication for surgical mitral valve replacement. The case is a great example to review the imaging pattern of mitral valve regurgitation.
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Gao C, Xiao C, Li B. Mitral valve aneurysm with infective endocarditis. Ann Thorac Surg 2004;78: 2.171-2.173. DOI: https://doi.org/10.1016/S0003-4975(03)01602-3
Azevedo O, Ferreira F, Guardado J, Durães C, Quelhas I, Pereira A, Almeida J. Mitral and aortic valve aneurysms secondary to infective endocarditis: Impressive images of a rare echocardiographic finding. Eur J Echocardiogr 2010 11 (7): E28. Epub 2010 Mar 10. DOI: https://doi.org/10.1093/ejechocard/jeq028
Kim DJ, Cho KI, Jun HJ, Kim YJ, Song YJ, Jhi JH, Chon MG, Kim SM, Lee HG, Kim TI. Perforated Mitral Valve Aneurysm in the Posterior Leaflet without Infective Endocarditis. J Cardiovasc Ultrasound 2012 20 (2): 100-102. DOI: https://doi.org/10.4250/jcu.2012.20.2.100
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Copyright (c) 2016 Javier A. López-Opitz, Oscar Moreno-Urrutia
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