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Mitral valve prolapse associated with celiac artery stenosis: a new ultrasonographic syndrome?

Luciano Arcari1

  • 1Guglielmo Marconi University - ASDAC (Updating and Teaching in Cardiology, Scientific Association), ARCA Lazio, Rome, Italy. luciano.arcari@fastwebnet.it

Cardiovascular Ultrasound
|December 14, 2004
PubMed

Insights

Celiac artery stenosis (CAS) and mitral valve prolapse (MVP) are significantly associated. This study found a 39% agreement between these conditions in patients undergoing screening.

Area of Science:

  • Cardiology
  • Vascular Medicine
  • Diagnostic Imaging

Background:

  • Celiac artery stenosis (CAS) can result from atherosclerosis or diaphragm compression.
  • Mitral valve prolapse (MVP) is a common valvular heart condition.
  • No prior reports have documented an association between CAS and MVP.

Purpose of the Study:

  • To investigate the potential association between celiac artery stenosis (CAS) and mitral valve prolapse (MVP).
  • To determine the prevalence of CAS in patients undergoing echocardiography for MVP.
  • To identify predictors of CAS in patients with MVP.

Main Methods:

  • Doppler sonography of the celiac tract was performed on 1560 patients assessed for MVP.
  • A total of 3780 consecutive patients were included in the screening.
  • Multivariate logistic regression was used to identify predictors of CAS.

Main Results:

  • Celiac artery stenosis (CAS) was detected in 3.7% of subjects.
  • Mitral valve prolapse (MVP) was observed in 82.4% of subjects with CAS and 7.9% without CAS (p < 0.001).
  • Peak systolic velocity (PSV) was the sole predictor of CAS in MVP patients (OR 0.24).

Conclusions:

  • Celiac artery stenosis (CAS) and mitral valve prolapse (MVP) demonstrate a significant association.
  • These findings suggest a link between valvular and vascular conditions.
  • Ultrasonographic screening may reveal concurrent CAS and MVP.
Abstract

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