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

Gori, Tommaso; Salerno, Diego; Donati, Giovanni

doi:10.1093/eurheartj/ehm347

Cited by 3 publications

(2 citation statements)

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“…Management was described for 216 patients. Accordingly, 20 patients (9.3%) were not operated due to conservative treatment/on a follow-up/waiting for surgical operation/operation refusal/sudden death, and loss of surgical opportunity, [12,13,15,21,22,25,26,29,41,42,45,[48][49][50][51][52]57,66] while 196 patients (90.7%) received a total of 198 surgical operations as follows: non-mitral valve operations (n=70, 35.4%) [3,11,14,26,30,33,36,39,46,61] and PMV: parachute mitral valve; * One of the asymptomatic patients developed dyspnea later. [41] [39,43,45,48,53,62] • Anterolateral (n=14) [39,65] • Inferolateral [56] • Left (n=1) [32] • Central [54] • Apical [63] Supravalvular mitral ring 10 [9,10,38,39] 3.5 11 [4,…”

Section: Resultsmentioning

confidence: 99%

Parachute mitral valve: Morphology and surgical management

Yuan

2020

Turk Gogus Kalp Dama

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Bu derlemede paraşüt mitral kapak morfolojisi ve cerrahi tedavisi tartışıldı. Ça lış ma pla nı: Ocak 2000 -Aralık 2018 tarihleri arasında spesifik MeSH terimleri ve anahtar sözcükleri kullanılarak PubMed, HighWire Press ve Cochrane Kütüphanesi veri tabanlarından İngilizce dilinde 330 paraşüt mitral kapak hastasını kapsayan 62 makaleye ulaşıldı. Bu çalışmalarda paraşüt mitral kapak morfolojisi ve cerrahi tedavi seçenekleri araştırıldı.Bul gu lar: Hastaların 287'sinde (%87.0) sendromik olmayan paraşüt mitral kapak ve 43'ünde (%13.0) sendromik paraşüt mitral kapak mevcuttu. Sendromik olanlara kıyasla, sendromik olmayan paraşüt mitral kapaklı daha fazla sayıda hasta konjestif kalp yetmezliği ile başvurdu. Sendromik olmayan paraşüt mitral kapaklı hastalarda sıklıkla mitral yetmezlik varken, sendromik paraşüt mitral kapaklı hastalarda sıklıkla mitral darlık vardı. So nuç:Paraşüt mitral kapaklar genellikle izole bir lezyon değildir ve sıklıkla mitral kapak yaprakçıkları, anülüs, komissürler, subvalvüler aparat ve supravalvüler mitral halkanın patolojik değişikliklerinin birlikteliği ile karakterizedir. Bu nedenle, hastaların birçoğu bir veya daha fazla cerrahi işleme ihtiyaç duyar. Bu hastalarda yeniden girişim, ameliyat sonrası tam kalp bloku ve mortalite gibi advers olayların insidansı yüksektir.Anah tar söz cük ler: Kalp ameliyatı; mitral kapak anüloplasti; mitral kapak darlığı.

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Section: Resultsmentioning

confidence: 99%

Parachute mitral valve: Morphology and surgical management

Yuan

2020

Turk Gogus Kalp Dama

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“…Particularly, accessory mitral valve in the aged is very rare [5,6]. The first case was described as early as 1842, and the first operated case dates back to 1963 [1].…”

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confidence: 99%

Accessory mitral valve in an elderly man on maintenance hemodialysis

et al. 2009

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This report describes a case of accessory mitral valve in an elderly patient on maintenance hemodialysis. Transesophageal echocardiography revealed a mobile sac-like structure with size of 12 × 10 mm(2), which attached to the left ventricular surface of base of the anterior mitral valve leaflet. Mobile stick-like structure with diameter of 21 mm was extending from this sac-like structure toward the left ventricular outflow tract and had a floating free edge. Peak pressure gradient across the left ventricular outflow tract was 32 mmHg. There were no other congenital cardiac anomalies. No clinical findings suggestive of bacterial or nonbacterial vegetation were seen. Also other possibilities of mobile thrombus or calcification were unlikely. These abnormal structures were diagnosed as accessory mitral valve with rudimentary chordae.

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