Successful repair of a mitral valve aneurysm with cleft of anterior mitral leaflet in an adult

Ann Thorac Surg. 2013 Dec;96(6):2238-40. doi: 10.1016/j.athoracsur.2013.04.110.

Abstract

A 40-year-old woman was admitted with severe mitral regurgitation (MR) and atrial fibrillation. Preoperative 3-dimensional transesophageal echocardiography demonstrated severe MR with an unruptured mitral valve aneurysm and a cleft. The stiff cleft edge was removed and closed directly, and plication of the aneurysm was added. After the implantation of a semirigid full ring, there was no residual MR. An adult patient with MR involving an unruptured mitral valve aneurysm with a cleft not associated with infection or a congenital anomaly is extremely rare. The 3-dimensional transesophageal echocardiography modality is useful for mitral valve repair because it provides precise anatomic information preoperatively.

Keywords: 35.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cardiac Surgical Procedures / methods*
  • Diagnosis, Differential
  • Echocardiography, Three-Dimensional
  • Echocardiography, Transesophageal
  • Female
  • Heart Aneurysm / complications
  • Heart Aneurysm / diagnosis
  • Heart Aneurysm / surgery*
  • Humans
  • Magnetic Resonance Imaging, Cine
  • Mitral Valve Insufficiency / diagnosis
  • Mitral Valve Insufficiency / etiology*
  • Mitral Valve Insufficiency / surgery
  • Mitral Valve*