[Successful surgical treatment of aortic regurgitation due to annuloaortic ectasia and mitral regurgitation caused by tendon rupture in a case of osteogenesis imperfecta].
A 54-year-old man presented with osteogenesis imperfecta complicated with both aortic regurgitation due to annuloaortic ectasia and mitral regurgitation secondary to tendon rupture. He had spinal and carpal deformities in his childhood, and heart murmurs were identified at the age of 25. He was admitted complaining of dyspnea on effort. His height was 142 cm and his weight was 46 kg. He had kyphosis, scoliosis and carpal deformity. Blue sclera was not observed. Chest radiography showed cardiomegaly and lung congestion. Echocardiography showed annuloaortic ectasia, mild aortic regurgitation, and serious mitral regurgitation due to postero-apical tendon rupture. Bone deformity and his statues were indicative of osteogenesis imperfecta. He received modified Bentall and mitral valve replacements.
Maekawa
Y
Y
Department of Cardiology, Koshigaya Hospital, Dokkyo University School of Medicine, Saitama.
Hayashi
T
T
Fujito
T
T
Hoshi
K
K
Kamishirado
H
H
Iwasaki
Y
Y
Hisauchi
I
I
Inoue
T
T
Morooka
S
S
D001022:Aortic Valve Insufficiency / Q000209:etiology* / Q000601:surgery; D004108:Dilatation, Pathologic; D006349:Heart Valve Diseases / Q000150:complications / Q000473:pathology; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000209:etiology* / Q000601:surgery; D010013:Osteogenesis Imperfecta / Q000150:complications*; D012422:Rupture, Spontaneous; D013710:Tendons