[A case report of perforated aneurysm of mitral valve with aortic regurgitation].
The patient was a 71-year-old male who complained of palpitation and tachycardia. The echocardiogram showed a bulging of the anterior mitral valve leaflet toward the left atrium that persisted throughout cardiac cycle. The cine angiogram showed deformity of the anterior mitral valve leaflet with severe mitral regurgitation and mild aortic regurgitation. At operation, a perforated aneurysm was recognized at the anterior mitral valve leaflet without thrombus and vegetation. The size of aneurysm was 40 x 25 x 25 mm. The patient underwent MVR + AVR, and the postoperative course was uneventful. Pathological examination of the anterior mitral valve leaflet revealed scar-like fibrosis and old inflammatory change. It was judged a true aneurysm of mitral valve, because the structure of endocardium was kept.
Ono
T
T
Department of Cardiovascular Surgery, Fukushima Medical College.
Iwaya
F
F
Igari
T
T
Abe
T
T
Hagiwara
K
K
Tanji
M
M
Satokawa
H
H
Watanabe
M
M
Midorikawa
H
H
Sato
Y
Y
D000368:Aged; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000601:surgery*; D006322:Heart Aneurysm / Q000150:complications / Q000601:surgery*; D006349:Heart Valve Diseases / Q000150:complications / Q000601:surgery; D006801:Humans; D008297:Male; D008943:Mitral Valve