title: [Paroxysmal ischemic mitral valve insufficiency].
abstract: The prognosis of patients with coronary artery disease may be threatened by ischaemic mitral regurgitation. Apart from rupture of a papillary muscle which requires rapid valve replacement. Chronic ischaemic papillary muscle dysfunction can often be a severe complication of ischaemic heart disease. The authors report the case of a patient with dyspnoea but no angina of effort. Cardiovascular investigations with right heart catheterisation demonstrated the occurrence of severe mitral regurgitation only during angioplasty of the left marginal artery.
authors.affiliation: Service de cardiologie, centre hospitalier Valère-Lefebvre, Le Raincy.
authors.forename: G
authors.initials: G
authors.lastname: Zemour
authors.forename: R
authors.initials: R
authors.lastname: Pilliere
authors.forename: Y
authors.initials: Y
authors.lastname: Esanu
authors.forename: S
authors.initials: S
authors.lastname: Narboux
authors.forename: B
authors.initials: B
authors.lastname: Hirsch
authors.forename: D
authors.initials: D
authors.lastname: Tanala
authors.forename: S
authors.initials: S
authors.lastname: Cattan
mesh_terms: D000789:Angina, Unstable / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D015906:Angioplasty, Balloon, Coronary; D006328:Cardiac Catheterization; D017023:Coronary Angiography; D003327:Coronary Disease / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D004452:Echocardiography / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D017202:Myocardial Ischemia / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color