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Updated: Jun 30, 2026
07:42
An Image Guided Transapical Mitral Valve Leaflet Puncture Model of Controlled Volume Overload from Mitral Regurgitation in the Rat
Published on: May 19, 2020
Perforated mitral valve aneurysm associated with Libman-Sacks endocarditis
Tomoyuki Takayama1, Masanori Teramura, Hiroshi Sakai
1Division of Cardiology, Department of Medicine, Kohka Public Hospital, Kohka. totakayama-circ@umin.ac.jp
Internal Medicine (Tokyo, Japan)
|September 18, 2008
Summary
A perforated mitral valve aneurysm, a rare condition, can cause acute heart failure. This case highlights Libman-Sacks endocarditis in systemic lupus erythematosus as a cause, with successful mitral valve repair.
Area of Science:
- Cardiology
- Rheumatology
- Pathology
Background:
- Mitral valve aneurysms are rare, often leading to acute mitral regurgitation.
- Infective endocarditis is the usual cause, but other etiologies exist.
- Systemic lupus erythematosus (SLE) can be associated with cardiac complications.
Observation:
- A case of acute heart failure due to a perforated mitral valve aneurysm is presented.
- The perforation was speculated to result from Libman-Sacks endocarditis.
- Libman-Sacks endocarditis was linked to SLE and secondary anti-phospholipid syndrome.
Findings:
- The patient presented with acute heart failure.
- A perforated mitral valve aneurysm was identified as the cause.
- Mitral valve plasty was successfully performed.
Implications:
- This case expands the known causes of perforated mitral valve aneurysms.
- It underscores the cardiac manifestations of Libman-Sacks endocarditis in SLE.
- Successful surgical intervention can improve outcomes in this rare condition.
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