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Published on: May 19, 2020
Ruptured mitral valve aneurysm: an uncommon cause of acute dyspnoea
Satyendra Tewari1, Nagaraja Moorthy, Nakul Sinha
1Department of Cardiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India. stewari_sgpgi.ac.in
Abstract:
The mitral valve aneurysm is a rare disease that is usually induced by infective endocarditis. While the mechanism of the development of this lesion is unclear, complications such as perforation can occur and lead to significant mitral regurgitation. We describe a patient presented with ruptured aneurysm of anterior mitral leaflet resulting in acute severe mitral regurgitation that was confirmed by transthoracic and transesophageal echocardiography. Early detection and prompt intervention are important to prevent the complications of valvular aneurysms, which include rupture, embolism, and endocarditis. This report emphasizes the role of echocardiography in evaluating the mitral valve aneurysms and its complications.
Insights
Mitral valve aneurysms, often caused by endocarditis, can rupture and cause severe mitral regurgitation. Echocardiography is crucial for early detection and management of this rare condition.
Area of Science:
- Cardiology
- Cardiac Surgery
- Medical Imaging
Background:
- Mitral valve aneurysm is a rare condition, frequently linked to infective endocarditis.
- The exact developmental mechanism remains poorly understood.
- Potential complications include leaflet perforation, rupture, embolism, and superimposed endocarditis.
Observation:
- A case of a ruptured anterior mitral leaflet aneurysm is presented.
- The rupture resulted in acute, severe mitral regurgitation.
- Diagnosis was confirmed using transthoracic and transesophageal echocardiography.
Findings:
- The patient presented with symptoms of acute severe mitral regurgitation due to a ruptured mitral valve aneurysm.
- Echocardiography effectively visualized the aneurysm and confirmed the severity of mitral regurgitation.
Implications:
- Prompt diagnosis and intervention are vital for managing valvular aneurysms and preventing serious complications.
- Echocardiography plays a critical role in the evaluation of mitral valve aneurysms and their associated pathologies.
- This case highlights the importance of considering mitral valve aneurysm in patients with unexplained severe mitral regurgitation.
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