Myxomatous Mitral Valve with Prolapse and Flail Scallop.
BACKGROUND
Myxomatous mitral valve with prolapse are classically seen with abnormal leaflet apposition during contraction of the heart. Hemodynamic disorders can result from eccentric mitral regurgitation usually caused by chordae tendinae rupture or papillary muscle dysfunction. Echocardiography is the gold standard for evaluation of leaflet flail and prolapse due to high sensitivity and specificity. Though most mitral valve prolapse are asymptomatic those that cause severe regurgitation need emergent surgical intervention to prevent disease progression.


METHODS
We report a 54 year old Hispanic male who presented with progressively worsening dyspnea and palpitations. Initial evaluation was significant for atrial fibrillation on electrocardiogram with subsequent echocardiography revealing myxomatous mitral valve with prolapse. Following surgical repair of the mitral valve, the dyspnea and palpitations resolved.


CONCLUSIONS
Mitral valve prolapse is a common valvular abnormality but the pathogenic cause of myxomatous valves has not been elucidated. Several theories describe multiple superfamilies of proteins to be involved in the process. Proper identification of these severe mitral regurgitation due to these disease valves will help relieve symptomatic mitral valve prolapse patients.
Medical Student, Paul L. Foster School of Medicine, El Paso, TX, U.S.A.
Jerry
J
Fan
Department of Cardiology, University Medical Center, El Paso, TX, U.S.A.
Alexa
A
Timbrook
Department of Internal Medicine, Texas Tech University Health Sciences Center, El Paso, TX, U.S.A.
Sarmad
S
Said
Department of Cardiology, Doctors Hospital and Medical Center, Johar Town Lahore, Pakistan.
Kamran
K
Babar
Department of Internal Medicine, Texas Tech University Health Sciences Center, El Paso, TX, U.S.A.
Mohamed
M
Teleb
Department of Cardiology, Texas Tech University Health Sciences Centero, El Paso, TX, U.S.A.
Debabrata
D
Mukherjee
Department of Internal Medicine, Texas Tech University Health Sciences Center, El Paso, TX, U.S.A.
Aamer
A
Abbas
Mitral Valve Annuloplasty; Mitral Valve Insufficiency; Mitral Valve Prolapse