| Idiopathic mitral valve disease in a patient presenting with Axenfeld-Rieger syndrome. | |
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MedLine Citation:
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PMID: 19557997 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 33-year-old, previously healthy male presented with respiratory distress and underwent intubation. A physical examination revealed a holosystolic murmur and pupillary abnormalities. Echocardiography revealed a flail anterior mitral valve leaflet with ruptured chordae and severe mitral regurgitation. The patient underwent urgent mitral valve replacement and tolerated the procedure well. The mitral valve leaflet was myxomatous and calcified -- an unusual find in such a patient. An ophthalmology consultation was obtained and the patient diagnosed with Axenfeld-Rieger syndrome, a disorder of the anterior ocular chamber that has been associated with cardiac malformations. The present case report adds to the body of literature which suggests a correlation between Axenfeld-Rieger syndrome and valvular abnormalities. Hence, it is believed prudent that patients with Axenfeld-Rieger syndrome should undergo echocardiographic screenings for valvular abnormalities. |
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Authors:
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Jared Antevil; Ramanan Umakanthan; Marzia Leacche; Zachary Brewer; Natalia Solenkova; John G Byrne; James P Greelish |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Journal of heart valve disease Volume: 18 ISSN: 0966-8519 ISO Abbreviation: J. Heart Valve Dis. Publication Date: 2009 May |
Date Detail:
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Created Date: 2009-06-29 Completed Date: 2009-08-21 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9312096 Medline TA: J Heart Valve Dis Country: England |
Other Details:
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Languages: eng Pagination: 349-51 Citation Subset: IM |
Affiliation:
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Vanderbilt Heart & Vascular Institute, Nashville, Tennessee, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Eye Abnormalities / diagnosis* Heart Defects, Congenital / diagnosis* Humans Male Mitral Valve / abnormalities* Mitral Valve Insufficiency / diagnosis*, surgery Syndrome |
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