title: [Mitral valve insufficiency caused by tendinous cord rupture and mitral valve aneurysm. Significance of the echocardiographic study].
abstract: Mitral valve aneurysm is a rare complication that may occur in a myxomatous valve. We report the case of a 73 year old male patient with severe mitral regurgitation and heart failure-class IV NYHA. Echocardiography showed perforation of an aneurysm of the anterior leaflet of the mitral valve associated with rupture of tendinous cords of the posterior mitral leaflet. Diagnosis was made by transthoracic echocardiography and confirmed by transesophageal echocardiography. The patient was urgently operated with success and a mitral valve prosthesis was implanted.
authors.affiliation: Cardiologia do Hospital de Santa Marta.
authors.forename: M L
authors.initials: ML
authors.lastname: Pitta
authors.forename: L
authors.initials: L
authors.lastname: Branco
authors.forename: A
authors.initials: A
authors.lastname: Galrinho
authors.forename: J A
authors.initials: JA
authors.lastname: Oliveira
authors.forename: J
authors.initials: J
authors.lastname: Abreu
authors.forename: J
authors.initials: J
authors.lastname: Mendes
authors.forename: M
authors.initials: M
authors.lastname: Oliveira
authors.forename: A
authors.initials: A
authors.lastname: Francisco
authors.forename: S
authors.initials: S
authors.lastname: Salomão
authors.forename: A M
authors.initials: AM
authors.lastname: Antunes
authors.forename: R
authors.initials: R
authors.lastname: Bento
mesh_terms: D000368:Aged; D017542:Aneurysm, Ruptured / Q000150:complications*; D002815:Chordae Tendineae; D017548:Echocardiography, Transesophageal; D006341:Heart Rupture / Q000150:complications*; D006801:Humans; D008297:Male; D008943:Mitral Valve; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging* / Q000209:etiology*