Bileaflet Tethering With Preserved LV Geometry and Function

An 81-year-old woman presented with acute pulmonary edema. Echocardiography revealed severe functional mitral regurgitation, the mechanism of which was unusual. An atypical bileaflet tethering caused by disharmonic annular remodeling, concomitant aortic dilatation, and reduced aorto-mitral angle wit...

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Bibliographic Details
Published in:JACC. Case reports 2024-02, Vol.29 (3), p.102191, Article 102191
Main Authors: Donia, Dario, Stankowski, Kamil, Figliozzi, Stefano, Pivato, Carlo Andrea, Regazzoli, Damiano, Mangieri, Antonio, Reimers, Bernhard, Bragato, Renato Maria, Stefanini, Giulio, Cannata, Francesco
Format: Article
Language:English
Subjects:
bileaflet tethering
functional mitral regurgitation
three-dimensional echocardiography
trans-esophageal echocardiography
transcatheter edge-to-edge repair
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Summary:An 81-year-old woman presented with acute pulmonary edema. Echocardiography revealed severe functional mitral regurgitation, the mechanism of which was unusual. An atypical bileaflet tethering caused by disharmonic annular remodeling, concomitant aortic dilatation, and reduced aorto-mitral angle without left ventricular dysfunction or dilatation was found. A transcatheter edge-to-edge repair was nonetheless successfully performed.
ISSN:2666-0849
2666-0849
DOI:10.1016/j.jaccas.2023.102191