title: [Acute mitral insufficiency secondary to dehiscence of a Carpentier-Edwards Physio ring: diagnosis with transthoracic echocardiography].
abstract: We describe a case of a 63-year-old patient admitted to our hospital because of cardiogenic shock. Past medical records showed anterior myocardial necrosis, myocardial surgery revascularization with apical aneurysmectomy and, 3 weeks before, another coronary artery bypass operation due to malfunction of the previous grafts and mitral annuloplasty with placement of a Carpentier-Edwards Physio no. 28 prosthetic ring. Transthoracic echocardiography revealed, in the middle of the mitral orifice, the presence of an echogenic structure with hypermobility and severe peri-ring mitral regurgitation due to dehiscence of the posterior side of the prosthetic ring. The diagnosis was finally confirmed by surgery and then mitral valve replacement was performed.
authors.affiliation: U.O. di Cardiologia Ospedale di Volterra Borgo S. Lazzaro, 5 56048 Volterra, PI. enricopuccioni@libero.it
authors.forename: Enrico
authors.initials: E
authors.lastname: Puccioni
authors.forename: Nicola
authors.initials: N
authors.lastname: Ciabatti
authors.forename: Nicoletta
authors.initials: N
authors.lastname: Gigli
authors.forename: Monica
authors.initials: M
authors.lastname: Solinas
authors.forename: Anna Maria
authors.initials: AM
authors.lastname: Ballestra
mesh_terms: D017548:Echocardiography, Transesophageal; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging* / Q000209:etiology*; D011474:Prosthesis Design; D011475:Prosthesis Failure