title: Anterior mitral valve aneurysm perforation in a patient with preexisting aortic regurgitation.
abstract: We report the case of a 71-year-old man hospitalized for acute heart failure. Transthoracic and transesophageal echocardiography showed mitral valve aneurysm (MVA) rupture and severe mitral regurgitation. No vegetations but significant aortic regurgitation were also observed. MVA perforation is a rare life-threatening condition that typically occurs as a complication of endocarditis but may also be associated with other diseases, in particular connective tissue disorders. In the present case, the absence of such etiology suggests a possible role for of aortic regurgitation in MVA rupture secondary to a "jet lesion" mechanism.
authors: Heart Department, University Hospital San Giovanni di Dio e Ruggi d'Aragona, Salerno, Italy. rodolfocitro@gmail.com
authors: Rodolfo
authors: R
authors: Citro
authors: Angelo
authors: A
authors: Silverio
authors: Roberto
authors: R
authors: Ascoli
authors: Antonio
authors: A
authors: Longobardi
authors: Eduardo
authors: E
authors: Bossone
authors: Giuseppe
authors: G
authors: Di Benedetto
authors: Federico
authors: F
authors: Piscione
mesh_terms: D000368:Aged; D001022:Aortic Valve Insufficiency / Q000150:complications*; D017809:Fatal Outcome; D006322:Heart Aneurysm / Q000150:complications*; D006349:Heart Valve Diseases / Q000209:etiology*; D006801:Humans; D008297:Male; D008943:Mitral Valve