Anterior mitral valve aneurysm perforation in a patient with preexisting aortic regurgitation

https://doi.org/10.4081/monaldi.2012.114

Authors

  • Rodolfo Citro | rodolfocitro@gmail.com Heart Department, University Hospital “San Giovanni di Dio e Ruggi d’Aragona”, Salerno, Italy.
  • Angelo Silverio Heart Department, University Hospital “San Giovanni di Dio e Ruggi d’Aragona”, Salerno, Italy.
  • Roberto Ascoli Heart Department, University Hospital “San Giovanni di Dio e Ruggi d’Aragona”, Salerno, Italy.
  • Antonio Longobardi Heart Department, University Hospital “San Giovanni di Dio e Ruggi d’Aragona”, Salerno, Italy.
  • Eduardo Bossone Heart Department, University Hospital “San Giovanni di Dio e Ruggi d’Aragona”, Salerno, Italy.
  • Giuseppe Di Benedetto Heart Department, University Hospital “San Giovanni di Dio e Ruggi d’Aragona”, Salerno, Italy.
  • Federico Piscione Heart Department, University Hospital “San Giovanni di Dio e Ruggi d’Aragona”, Salerno, Italy.

Abstract

We report the case of a 71-year-old man hospitalized for acute heart failure. Transthoracic and transesophageal echocardiography showed mitral valve aneurysm (MVA) rupture and severe mitral regurgitation. No vegetations but significant aortic regurgitation were also observed. MVA perforation is a rare life-threatening condition that typically occurs as a complication of endocarditis but may also be associated with other diseases, in particular connective tissue disorders. In the present case, the absence of such etiology suggests a possible role for of aortic regurgitation in MVA rupture secondary to a “jet lesion†mechanism.

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Published
2015-12-01
Info
Issue
Section
Case Reports
Keywords:
mitral valve aneurysm, mitral regurgitation, aortic regurgitation.
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  • PDF: 320
How to Cite
Citro, Rodolfo, Angelo Silverio, Roberto Ascoli, Antonio Longobardi, Eduardo Bossone, Giuseppe Di Benedetto, and Federico Piscione. 2015. “Anterior Mitral Valve Aneurysm Perforation in a Patient With Preexisting Aortic Regurgitation”. Monaldi Archives for Chest Disease 78 (4). https://doi.org/10.4081/monaldi.2012.114.

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