Case Reports
December 1, 2015
Vol. 78 No. 4 (2012): Cardiac series
https://doi.org/10.4081/monaldi.2012.114

Anterior mitral valve aneurysm perforation in a patient with preexisting aortic regurgitation

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mitral valve aneurysm, mitral regurgitation, aortic regurgitation.
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Authors

Rodolfo Citro
rodolfocitro@gmail.com
Heart Department, University Hospital “San Giovanni di Dio e Ruggi d’Aragona”, Salerno, Italy.
Angelo Silverio
Heart Department, University Hospital “San Giovanni di Dio e Ruggi d’Aragona”, Salerno, Italy.
Roberto Ascoli
Heart Department, University Hospital “San Giovanni di Dio e Ruggi d’Aragona”, Salerno, Italy.
Antonio Longobardi
Heart Department, University Hospital “San Giovanni di Dio e Ruggi d’Aragona”, Salerno, Italy.
Eduardo Bossone
Heart Department, University Hospital “San Giovanni di Dio e Ruggi d’Aragona”, Salerno, Italy.
Giuseppe Di Benedetto
Heart Department, University Hospital “San Giovanni di Dio e Ruggi d’Aragona”, Salerno, Italy.
Federico Piscione
Heart Department, University Hospital “San Giovanni di Dio e Ruggi d’Aragona”, Salerno, Italy.
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.

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How to Cite



“Anterior Mitral Valve Aneurysm Perforation in a Patient With Preexisting Aortic Regurgitation”. 2015. Monaldi Archives for Chest Disease 78 (4). https://doi.org/10.4081/monaldi.2012.114.