title: Multiple angiomatous mitral valve cysts leading to floppy mitral valve syndrome.
abstract: We report an extremely rare case of cystic-tumor like formations that originated from the mitral valve tissue affected by verrucous endocarditis, leading to floppy mitral valve syndrome. These cystic tumoral formations were discovered during two-dimensional echocardiographic examination of a 46 year-old woman with cardiac symptoms of palpitation, dyspnea, and exertional angina pectoris. Multiple cysts were attached to the anterior mitral leaflet, resulting in pansystolic pseudoparachute-like floppy mitral valve prolapse, and severe mitral regurgitation. The patient underwent prosthetic mitral valve replacement following removal of the mitral valve and multiple cystic-tumoral formations. She had an uneventful postoperative course. Histological diagnosis was diffuse angiomatous cystic development of vasculatory tumor-like structures due to verrucous endocarditis.
authors.affiliation: Department of Cardiology, Cardiology Institute, Istanbul University, Istanbul, Turkey. nngultekin@yahoo.com
authors.forename: Nazmi
authors.initials: N
authors.lastname: Gültekin
authors.forename: Emine
authors.initials: E
authors.lastname: Küçükateş
authors.forename: Murat
authors.initials: M
authors.lastname: Ersanli
authors.forename: Erhan
authors.initials: E
authors.lastname: Kansiz