title: Successful repair of a mitral valve aneurysm with cleft of anterior mitral leaflet in an adult.
abstract: A 40-year-old woman was admitted with severe mitral regurgitation (MR) and atrial fibrillation. Preoperative 3-dimensional transesophageal echocardiography demonstrated severe MR with an unruptured mitral valve aneurysm and a cleft. The stiff cleft edge was removed and closed directly, and plication of the aneurysm was added. After the implantation of a semirigid full ring, there was no residual MR. An adult patient with MR involving an unruptured mitral valve aneurysm with a cleft not associated with infection or a congenital anomaly is extremely rare. The 3-dimensional transesophageal echocardiography modality is useful for mitral valve repair because it provides precise anatomic information preoperatively.
authors.affiliation: Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan. Electronic address: suguru19820411@gmail.com.
authors.forename: Suguru
authors.initials: S
authors.lastname: Ohira
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Doi
authors.forename: Tetsuhiro
authors.initials: T
authors.lastname: Yamano
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Yaku
mesh_terms: D000328:Adult; D006348:Cardiac Surgical Procedures / Q000379:methods*; D003937:Diagnosis, Differential; D019560:Echocardiography, Three-Dimensional; D017548:Echocardiography, Transesophageal; D005260:Female; D006322:Heart Aneurysm / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D019028:Magnetic Resonance Imaging, Cine; D008943:Mitral Valve; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery
keywords: 35