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Updated: Jun 8, 2026
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A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
An incidental finding of mitral valve network
Mohammed A R Chamsi-Pasha1, Ashraf M Anwar, Youssef F M Nosir
1Department of Cardiology and Cardiac Surgery, King Fahd Armed Forces Hospital, Jeddah, Kingdom of Saudi Arabia.
Echocardiography (Mount Kisco, N.Y.)
|September 21, 2010
Summary
A rare filamentous network was found attached to the mitral valve in a patient with coronary artery disease presenting with exertional dyspnea. This is the first reported case of such a finding on the mitral valve.
Area of Science:
- Cardiology
- Cardiac Surgery
- Pathology
Background:
- Exertional dyspnea is a common symptom that can indicate underlying cardiovascular disease.
- Three-vessel coronary artery disease requires comprehensive evaluation and management.
- Mitral valve abnormalities can significantly impact cardiac function and patient outcomes.
Observation:
- A 63-year-old male experienced worsening exertional dyspnea over six months.
- Diagnostic imaging revealed three-vessel coronary artery disease.
- Transesophageal echocardiography identified an unusual filamentous structure on the anterior mitral valve leaflet.
Findings:
- Surgical exploration confirmed the presence of a filamentous network attached to the mitral valve.
- This finding represents a novel observation in cardiovascular pathology.
- The exact etiology and clinical significance of this filamentous network require further investigation.
Implications:
- This case highlights the importance of thorough echocardiographic examination in patients with unexplained dyspnea and coronary artery disease.
- The identification of this unique mitral valve structure may lead to new insights into valvular pathology.
- Further research is warranted to understand the pathogenesis and clinical relevance of filamentous networks in the heart.
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