Anterior mitral valve aneurysm perforation in a patient with preexisting aortic regurgitation

We report the case of a 71-year-old man hospitalized for acute heart failure. Transthoracic and transesophageal echocardiography showed mitral valve aneurysm (MVA) rupture and severe mitral regurgitation. No vegetations but significant aortic regurgitation were also observed. MVA perforation is a ra...

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Bibliographic Details
Published in:Monaldi archives for chest disease 2012-12, Vol.78 (4), p.210-211
Main Authors: Citro, Rodolfo, Silverio, Angelo, Ascoli, Roberto, Longobardi, Antonio, Bossone, Eduardo, Di Benedetto, Giuseppe, Piscione, Federico
Format: Article
Language:English
Subjects:
Aged
aortic regurgitation
Aortic Valve Insufficiency - complications
Fatal Outcome
Heart Aneurysm - complications
Heart Valve Diseases - etiology
Humans
Male
mitral regurgitation
Mitral Valve
mitral valve aneurysm
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Summary:We report the case of a 71-year-old man hospitalized for acute heart failure. Transthoracic and transesophageal echocardiography showed mitral valve aneurysm (MVA) rupture and severe mitral regurgitation. No vegetations but significant aortic regurgitation were also observed. MVA perforation is a rare life-threatening condition that typically occurs as a complication of endocarditis but may also be associated with other diseases, in particular connective tissue disorders. In the present case, the absence of such etiology suggests a possible role for of aortic regurgitation in MVA rupture secondary to a "jet lesion" mechanism.
ISSN:1122-0643
2532-5264
DOI:10.4081/monaldi.2012.114