title: The importance of being "three-dimensional": how to save a mitral valve. Case report.
abstract: In a 72-year-old male patient an acute coronary syndrome (ACS) was complicated by left ventricular aneurysm and severe mitral regurgitation. Two-dimensional echocardiography failed in detecting mechanism of mitral regurgitation. Transthoracic three dimensional echocardiography allowed us to obtain a better visualization of the relationship between papillary muscles, ventricular walls and mitral leaflets and dynamic systolic displacement of the posterior papillary muscle associated with restriction of both leaflets with greater apical tethering of anterior leaflet (A3-A2 scallops). Echocardiography performed after cardiac surgery revealed that ventricular reshaping after posterior papillary muscle realignment allowed the mitral regurgitation resolution.
authors.affiliation: Department of Cardiovascular Science, "S. Camillo-Forlanini" Hospital, Rome, Italy.
authors.forename: Paolo Giuseppe
authors.initials: PG
authors.lastname: Pino
authors.forename: Amedeo
authors.initials: A
authors.lastname: Pergolini
authors.forename: Giordano
authors.initials: G
authors.lastname: Zampi
authors.forename: Giovanni
authors.initials: G
authors.lastname: Minardi
authors.forename: Gaetano
authors.initials: G
authors.lastname: Pero
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Polizzi
authors.forename: Francesco
authors.initials: F
authors.lastname: Musumeci
mesh_terms: D000368:Aged; D019560:Echocardiography, Three-Dimensional / Q000379:methods*; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000000981:diagnostic imaging* / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging* / Q000601:surgery*; D011379:Prognosis; D016896:Treatment Outcome