Mitral valve cleft associated with secundum atrial septal defect: case report and review of the literature

https://doi.org/10.4081/monaldi.2007.469

Authors

  • Shi-Min Yuan Department of Cardiac and Thoracic Surgery, The Chaim Sheba Medical Center, Tel Hashomer, Israel.
  • Amihay Shinfeld Department of Cardiac and Thoracic Surgery, The Chaim Sheba Medical Center, Tel Hashomer, Israel.
  • Ehud Raanani | Ehud.Raanani@sheba.health.gov.il Department of Cardiac and Thoracic Surgery, The Chaim Sheba Medical Center, Tel Hashomer, Israel.

Abstract

Mitral valve cleft associated with secundum atrial septal defect (ASD) is uncommon. We report a 39-year-old male patient manifesting symptoms of congestive heart failure 3 months before admission. Echocardiography showed typical mitral valve prolapse and a large ASD of the secundum type. He was diagnosed as severe mitral regurgitation and ASD. At operation, severe mitral valve prolapse with additional degenerative leaflets and a middle-sized cleft in the anterior leaflet were noted. A large ASD of a mixed central and inferior vena cava type was found. Mitral valve repair was impossible. The mitral valve was replaced with an ATS prosthesis. The ASD was repaired with a pericardial patch. Three slow arrhythmias, including nodal rhythm, sinus bradycardia and atrial fibrillation, complicated his early postoperative course. The literature of this entity was reviewed, and the etiology of the postoperative slow arrhythmias was discussed.

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Published
2016-02-03
Info
Issue
Section
Case Reports
Keywords:
atrial septal defect, secundum, mitral valve cleft, mitral valve replacement, slow arrhythmia.
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  • PDF: 260
How to Cite
Yuan, Shi-Min, Amihay Shinfeld, and Ehud Raanani. 2016. “Mitral Valve Cleft Associated With Secundum Atrial Septal Defect: Case Report and Review of the Literature”. Monaldi Archives for Chest Disease 68 (1). https://doi.org/10.4081/monaldi.2007.469.