Document Detail


Repair of a duplicate mitral valve in a patient with ascending aortic aneurysm and bicuspid aortic valve.
MedLine Citation:
PMID:  24580952     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
We present the case of a 48-year-old man presenting to the emergency department with acute onset of chest pain radiating to the back in the setting of a known ascending aortic aneurysm. Preoperative echocardiography revealed an incompetent duplicate mitral valve, with a medially directed eccentric 3+ jet of mitral regurgitation, and a bicuspid aortic valve. The patient was scheduled for aortic root and valve replacement with concurrent mitral valve repair. Intraoperative examination revealed an incompetent duplicate mitral valve separated from the physiologic mitral valve by a band of interatrial tissue. Successful repair was undertaken by oversewing the mitral valve. Postoperative echocardiography allowed for evaluation of this unique repair, which revealed no evidence of further mitral regurgitation and confirmed a successful repair of the mitral regurgitation without any need for an implantable device. Our goal is that this case and its positive treatment outcome, along with our three-dimensional echocardiographic images correlated with the intraoperative findings and photographs, will further the understanding of the diagnosis and treatment of this rare condition.
Authors:
Guy Jensen; Thomas Smith; Mona Flores
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  97     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2014 Mar 
Date Detail:
Created Date:  2014-03-03     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  e67-9     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2014 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
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