Rare aneurysm of anterior mitral valve leaflet-a case report

Tariq, Muhammad; Zahid, Ibrahim; Sami, Shahid Ahmed

doi:10.1186/s13019-019-1032-6

Cited by 13 publications

(14 citation statements)

References 10 publications

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“…It expends on systole and collapses during diastole. (3)(4)(5) But this valuable feature was not detected in our patient. We did not see it collapsed on diastole (supplementary video 1).…”

Section: Discussionmentioning

confidence: 66%

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A large special posterior mitral valve aneurysm without infective endocarditis and literature review

Wang

Zhao

et al. 2022

Preprint

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Background Mitral valve aneurysm (MVA) was a saccular bulging on mitral valves. It often occurred in anterior leaflet and commonly caused by aortic valve regurgitation complicated by infective endocarditis. Case presentation We reported a 68-year-old female with MVA of posterior leaflet without infective endocarditis. The aneurysm was large and the characteristics of its echo imaging was special, because the saccular structure did not collapse during diastole in real time three dimentional transesophageal echocardiography (RT-3D-TEE). But direct communication between the mass and the left ventricle was detected in this patient. This jet flow from left ventricle into the aneurysm help us distinguish MVA from mass. The patient was uneventful after mitral valve plasty surgery in 2 years’ follow-up. Conclusion We diagnosed a large MVA of posterior leaflet without endocarditis by RT-3D-TEE here. Large MVAs did not collapse in diastole, but the jet flow from left ventricle into the aneurysm can help us distinguish MVA from mass. Besides, RT-3D-TEE was more reliable to diagnose and assess MVA than 2-dimentional transthoracic echocardiography.

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“…It expends on systole and collapses during diastole. (3)(4)(5) But this valuable feature was not detected in our patient. We did not see it collapsed on diastole (supplementary video 1).…”

Section: Discussionmentioning

confidence: 66%

“…The incidence of it is 0.2-0.3% on echocardiography. (1)(2)(3)(4). It is a saccular, bulging structure on the mitral lea et.…”

Section: Introductionmentioning

confidence: 99%

A large special posterior mitral valve aneurysm without infective endocarditis and literature review

Wang

Zhao

et al. 2022

Preprint

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“…The first case of MVA was reported in 1729 [Tariq 2019]. Although MVAs are clinically rare, the relevant literature has provided a comprehensive understanding of MVAs.…”

Section: Discussionmentioning

confidence: 99%

Accurate and Rapid Diagnosis of Complex Mitral Valve Aneurysm with Neoplasm via Real-time 3D Transesophageal Echocardiography

Luo

Tan

Wang

et al. 2022

HSF

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Mitral valve leaflet aneurysm (MVA) is a rare and potentially devastating complication of infective endocarditis. Here, we report the case of a 49-year-old man with mitral endocarditis who had an anterior MVA without aortic morphologic change and only mild regurgitation. By real-time 3D transesophageal echocardiography (TOE), we found two perforations and a hard mass in the aneurysm accompanied with severe regurgitation. The patient underwent valve replacement surgery combined with anti-infection treatment and was successfully discharged. In addition to the case report and literature review related to MVA, we also summarize the application value of RT-3D TOE in these cases.

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“…Initial TTE imaging revealed mitral regurgitation due to prolapse of PML and concurrent sub-mitral aneurysm as well as apical aneurysm, but further definition of the aneurysm extent and presence of vegetation's was not possible. TEE proved useful in further confirming the aneurysms [9]. Three-dimensional TEE was useful in assessing the morphology of the valve and the enface view showed a clear perforation in the P1 segment of the PML [10].…”

Section: Casementioning

confidence: 92%

“…Our case represents first case of multiple cardiac aneurysms with concomitant mitral leaflet perforation in the absence of definite infective endocarditis. We postulate that the primary lesion may have been a mitral leaflet aneurysm analogous to the same aneurysmal disease process in other parts of the left ventricle [9]. Subsequently, the aneurysm in the mitral leaflet likely ruptured and resulted in the patient's presentation with heart failure secondary to severe mitral regurgitation.…”

Section: Casementioning

confidence: 93%

Multi-Modality Imaging of a Case of Multiple Intra-Cardiac Aneurysms Complicated by Mitral Valve Leaflet Perforation

Meel¹,

Liam²,

Gonçalves³

et al. 2020

Int J Clin Cardiol

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tigue, fever, night sweats, pleuritic chest pains and cough productive of yellow sputum of about two weeks duration. There was a history of tuberculosis contact at home. At this presentation clinical exam revealed a blood pressure of 92/62 mmHg, heart rate of 77 beats per minute, Respiratory rate of 35 breaths/min with Oxygen saturation of 96%. On general exam there was pallor of nails and conjunctiva and peripheral oedema. On systemic exam he was noted to have percussion dullness in the region of middle lobe of the left lung and decrease air entry was noted. There were no crackles reported. Cardiovascular system exam revealed cardiomegaly with displaced apex beat in the 6 th intercostal space mid-axillary line with grade 4/6 pan-systolic murmur in the mitral area. Blood chemistry revealed low Haemoglobin of 9.8 g/dl secondary to iron deficiency, normal white cell count and a raised C-reactive protein at 33 mg/l and normal urea and electrolytes. Klebsiella pneumoniae and Citrobacter Freundii were noted on sputum microscopy, culture and sensitivity. He was treated with Ceftriaxone and Gentamicin for community acquired pneumonia, and subsequently discharged with out-patient cardiac clinic date. He presented again to the same Hospital in late September 2019, where an assessment of congestive cardiac failure was made sec-

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Rare aneurysm of anterior mitral valve leaflet-a case report

Cited by 13 publications

References 10 publications

A large special posterior mitral valve aneurysm without infective endocarditis and literature review

A large special posterior mitral valve aneurysm without infective endocarditis and literature review

Accurate and Rapid Diagnosis of Complex Mitral Valve Aneurysm with Neoplasm via Real-time 3D Transesophageal Echocardiography

Multi-Modality Imaging of a Case of Multiple Intra-Cardiac Aneurysms Complicated by Mitral Valve Leaflet Perforation

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