title: Chronic mitral regurgitation secondary to a perivalvular leak from remote trauma.
abstract: We report a rare case of mitral regurgitation as a result of perivalvular leak in a 49-year-old man with a history of blunt trauma. He presented with a 2-month history of progressive exertional dyspnea, angina, and heart failure. Preoperative transesophageal echocardiography demonstrated severe mitral regurgitation as a result of a perivalvular leak of the mitral valve that was not evident on transthoracic echocardiography and cardiac catheterization.
authors.affiliation: Department of Cardiology, St Vincent's Hospital, Indianapolis, Indiana, USA.
authors.forename: Sai
authors.initials: S
authors.lastname: Devarapalli
authors.forename: Douglas S
authors.initials: DS
authors.lastname: Segar
mesh_terms: D000063:Accidents, Traffic; D000787:Angina Pectoris / Q000000981:diagnostic imaging / Q000209:etiology; D002815:Chordae Tendineae / Q000000981:diagnostic imaging / Q000293:injuries*; D002908:Chronic Disease; D018450:Disease Progression; D004417:Dyspnea / Q000000981:diagnostic imaging / Q000209:etiology; D004452:Echocardiography; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000473:pathology; D006333:Heart Failure / Q000000981:diagnostic imaging / Q000209:etiology; D006335:Heart Injuries / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D017379:Hypertrophy, Left Ventricular / Q000000981:diagnostic imaging / Q000209:etiology; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology*; D014262:Tricuspid Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000000981:diagnostic imaging