Ventricular fibrillation in acute mitral valve insufficiency caused by chordae tendineae rupture: report of a surgically corrected case.
In this report, we present the case of a previously healthy 80-year-old woman who was referred to surgery after a cardiac arrest due to ventricular fibrillation successfully resuscitated; the following evaluation revealed acute mitral regurgitation due to chordae tendineae rupture. After mitral valve repair, a single-chamber cardioverter-defibrillator was implanted for secondary prevention of sudden cardiac death. After 16 months of follow-up, the patient is asymptomatic without any further episodes of ventricular arrhythmias reported, underlying the pivotal role of mitral valve repair in the prevention of potentially lethal ventricular arrhythmias.
Bortnik
Miriam
M
Divisione Clinicizzata di Cardiologia, Azienda Ospedaliera Maggiore della Carità, Corso Mazzini 18, 28100 Novara, Italy. miriam.bortnik@libero.it
Leverone
Marta
M
Teodori
Giovanni
G
Marcolongo
Marco
M
Occhetta
Eraldo
E
Marino
Paolo
P
D000208:Acute Disease; D000369:Aged, 80 and over; D000790:Angiocardiography; D016887:Cardiopulmonary Resuscitation; D002815:Chordae Tendineae / Q000293:injuries* / Q000601:surgery; D017147:Defibrillators, Implantable; D018618:Echocardiography, Doppler, Color; D005260:Female; D006323:Heart Arrest / Q000209:etiology / Q000628:therapy; D006341:Heart Rupture / Q000150:complications* / Q000473:pathology / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D055502:Secondary Prevention; D016896:Treatment Outcome; D014693:Ventricular Fibrillation / Q000209:etiology* / Q000473:pathology / Q000601:surgery