Anomalous mitral arcade leading to congenital mitral insufficiency with an associated anomaly of the tricuspid valve

1992 ◽  
Vol 2 (4) ◽  
pp. 357-358 ◽  
Author(s):  
Jyoti V. Mandke ◽  
Vikas R. Dharnidharka ◽  
Vasundhara P. Sanzgiri
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Tricuspid Valve ◽  
Acute Onset ◽  
Mitral Insufficiency

SummaryA 21-day-old girl presented with congestive heart failure of acute onset and Doppler evidence of mitral regurgitation, which subsequently proved fatal. Necropsy revealed an anomalous arcade lesion of the mitral valve. The tendinous cords of the tricuspid valve were also abnormal, a finding, to the best of our knowledge, not reported before.

scholarly journals Possibilities of Echocardiography at the Stages of Surgical Treatment of the Patient with the Mitral Valve Posterior Leaflet Prolapse Resulted in Mitral Insufficiency and Atrial Fibrillation (A Case Report)

2017 ◽  
pp. 103-113
Author(s):  
M. V. Kadyrova ◽  
N. N. Askerova ◽  
Yu. A. Stepanova ◽  
N. V. Zhemerov ◽  
E. S. Malyshenko ◽  
...  
Keyword(s):  
Heart Failure ◽  
Atrial Fibrillation ◽  
Chronic Heart Failure ◽  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Plastic Surgery ◽  
Mitral Insufficiency ◽  
Posterior Leaflet ◽  
Support Ring ◽  
Leaflet Prolapse

The mitral valve prolapse is characterized by the degeneration of the valve leaflets, accompanied by their thickening, increasing surface area and flexibility. The mitral valves leaflets bulge (prolapse) beyond the plane of the atrioventricular ring into the left atrium during ventricular systole and lose the ability to close tightly, leading to the mitral regurgitation. Acute chord rupture of the mitral valve posterior leaflet is a rare but important cause of severe mitral regurgitation and the development of acute or progressive chronic heart failure. Acute mitral insufficiency, accompanied by hemodynamic disorders, requires an urgent valve plastic surgery or valve prosthetics. The mitral valve plastic surgery gives a number of undeniable advantages over prosthetics, providing the best hemodynamic parameters, saving the patient from lifelong receiving of anticoagulant drugs. Detailed qualified echocardiographic evaluation of all structures of the mitral valve (fibrous ring, MV leaflets by segments, overlapping structures, structure of the chordal apparatus, papillary muscles) provides the necessary information for the mitral valve reconstructive plastic surgery with the choice of the method that is most optimal for a certain patient at the preoperative stage. We report herein a clinical observation of the patient with a diagnosis: acquired heart disease, the mitral valve posterior leaflet prolapse with mitral insufficiency Grade 3. Chronic heart failure IIA. II FC. Atrial fibrillation. The patient underwent multicomponent mitral valve reconstruction with the creation of a neochord and the fibrous ring plastic on the duplicate of a PTFE strip (soft support ring), pairwise isolation of the pulmonary vein entrance and right cavotricuspid isthmus.

scholarly journals P627 Step by step valve destruction in infective endocarditis with no apparent vegetations

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
M Skafar ◽  
A Ovsenik ◽  
J Toplisek ◽  
B Berlot ◽  
M Bervar
Keyword(s):  
Heart Failure ◽  
Staphylococcus Aureus ◽  
Congestive Heart Failure ◽  
Infective Endocarditis ◽  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Antibiotic Therapy ◽  
Systolic Dysfunction ◽  
Illustrative Case ◽  
Posterior Leaflet

Abstract Background Infective endocarditis can present without evident vegetation, diagnosis is challenging and prognosis very poor. We present an illustrative case where natural evolution of the mitral valve destruction with no evident vegetations was followed with frequent consecutive transthoracic (TTE) and transesophageal echocardiography (TOE). Case presentation 71-year old male with known dilated cardiomyopathy presented with dyspnoea, ankle swelling and severe kidney failure with hyperkalemia. During short hospitalization he was recompensated with haemodialysis, parenteral diuretics and inotropes. TTE showed dilated left ventricle with severe systolic dysfunction and no evidence of valvular disease. Few days after discharge he was readmitted with malaise and febrile state with no obvious site of infection. Blood cultures were positive for Staphylococcus aureus and antibiotic therapy was initiated immediately. Weekly TTEs and TOEs were performed (Figure 1, column A-D): Week 1: TTE was performed due to congestive heart failure. There was no suspicion on disease and TTE showed no obvious mitral valve pathology. Week 3: Second TTE showed only light thickening of posterior mitral leaflet with mild mitral regurgitation. Week 4: Follow-up TOE was performed showing posterior leaflet discontinuity with small eccentric regurgitation jet and no vegetation. Week 6: Symptoms of congestive heart failure persisted despite antibiotic treatment. A progressive destruction of posterior leaflet with evident perforation of P1 scallop and consequent severe mitral regurgitation. Patient was referred for urgent mitral valve replacement. Conclusions Staphylococcus aureus is a destructive pathogen and can cause severe destruction of native valve even without obvious vegetations. This case presents echocardiographic features of natural course of infective endocarditis on mitral valve. Despite antibiotic therapy progressive valve destruction is possible. Abstract P627 Figure.

Therapeutic Management of Right Side Congestive Heart Failure in a Dachshund Bitch

2016 ◽  
Vol 12 (2) ◽  
Author(s):  
D. J. Talukdar ◽  
K. Sharma ◽  
H. Bayan ◽  
F. A. Ahmed ◽  
G. Das ◽  
...  
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Mitral Valve ◽  
Clinical Signs ◽  
Mitral Valve Insufficiency ◽  
Peripheral Region ◽  
Acute Onset ◽  
The Body ◽  
Heartworm Disease ◽  
Valve Insufficiency

Congestive Heart Failure (CHF) is a term that refers to the heart’s inability to pump adequate blood to the body. There are many causes of CHF in dogs viz. mitral valve insufficiency (MVI) or a leaky mitral valve, dilated cardiomyopathy (Haggstrom, 2010) and chronic heartworm disease. Clinical signs vary depending on whether the dog has left- or right-sided heart failure. Right-sided congestive heart failure (RS-CHF) causes poor venous return to the heart, accumulation of fluid in the peritoneum leading to ascites. Fluid also leaks from the veins in the limbs, causing oedema of the peripheral region. In animals, Right-sided congestive heart failure (RS-CHF) has previously been described in dogs (McIntosh and McEntee, 1995), cats and also in ferret (Haggstrom, 2010). The reported canine cases were among young to middle-aged male dogs (Bull mastiff, Siberian husky and dachshund), with acute-onset congestive right-sided heart failure or syncope as the presenting complaints. The present case was diagnosed as right side heart failure in a six years old female Dachshund dog with pleural effusion

scholarly journals Predictors of outcomes in patients with mitral regurgitation undergoing percutaneous valve repair

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
A Polimeni
Keyword(s):  
Heart Failure ◽  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Primary Endpoint ◽  
Cardiovascular Death ◽  
Volume Index ◽  
Valve Repair ◽  
Percutaneous Valve Repair ◽  
Percutaneous Valve

Abstract Background Percutaneous mitral valve repairs has been increasingly performed worldwide. The MITRA-UMG registry provides a snapshot of a real-world clinical data and outcomes. Purpose We sought to investigate predictors of clinical outcomes in patients with mitral regurgitation undergoing percutaneous valve repair. Methods The MITRA-UMG registry retrospectively collected data from consecutive patients with symptomatic moderate-to-severe or severe MR underwent MitraClip implantation. The primary endpoint of interest was the composite of cardiovascular death or rehospitalization for HF. Results Between March 2012 and July 2018, a total of 133 consecutive patients admitted to our institution were included. Acute procedural success was obtained in 95.4% of patients, with no intraprocedural death. The composite primary endpoint of cardiovascular death or rehospitalization for heart failure was met in 50 patients (38%) with cumulative incidences of 7%, 25%, at 30 days and 1 year, respectively. In the Cox multivariate model, NYHA functional class IV, left ventricular end-diastolic volume index (LVEDVi), Euroscore II, independently increased the risk of the primary endpoint at long-term follow-up. At Kaplan-Meier analysis, a LVEDVi >92 ml/m2 was associated with an increased incidence of the primary endpoint. Conclusions In searching the ideal phenotype of patients who benefit most of percutaneous mitral valve repair, those presenting with severely dilated ventricles (LVEDVi >92 ml/m2), high operative risk (EUROSCORE II >7%) or advanced heart failure symptoms (NYHA IV) at baseline carried the worst prognosis at long-term. Funding Acknowledgement Type of funding source: None

Percutaneous Mitral Valve Repair Vs. Stand-Alone Medical Therapy in Patients with Functional Mitral Regurgitation and Heart Failure

2020 ◽  
Vol 21 (1) ◽  
pp. 52-60 ◽  
Author(s):  
Tomás Benito-González ◽  
Rodrigo Estévez-Loureiro ◽  
Pedro A. Villablanca ◽  
Patrizio Armeni ◽  
Ignacio Iglesias-Gárriz ◽  
...  
Keyword(s):  
Heart Failure ◽  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Mitral Valve Repair ◽  
Medical Therapy ◽  
Functional Mitral Regurgitation ◽  
Valve Repair ◽  
Percutaneous Mitral Valve Repair
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