Decalcification of Anterior Mitral Valve Leaflet to Repair Moderate Nonrheumatic Mitral Valve Stenosis with Severe Aortic Valve Stenosis

The therapeutic implications of bicuspid aortic valve associations have come under scrutiny in the transcatheter aortic valve implantation era. We evaluate the spectrum of mitral valve disease in patients with bicuspid aortic valves to determine the need for closer echocardiographic scrutiny/follow-up of the mitral valve. A retrospective analysis of echocardiograms done at a referral hospital over five years was conducted in patients with bicuspid aortic valves with special attention to congenital abnormalities of the mitral valve. One hundred and forty patients with a bicuspid aortic valve were included. A congenital mitral valve abnormality was present in eight (5.7%, P = 0.01) with a parachute mitral valve in four (2.8%), an accessory mitral valve leaflet in one (0.7%), mitral valve prolapse in one, a cleft in one and the novel finding of a trileaflet mitral valve in one. Minor abnormalities included an elongated anterior mitral valve leaflet (P < 0.001), the increased incidence of physiological mitral regurgitation (P < 0.001), abnormal papillary muscles (P = 0.002) and an additional chord or tendon in the left ventricle cavity (P = 0.007). Mitral valve abnormalities occur more commonly in patients with bicuspid aortic valves than matched healthy individuals. The study confirms that abnormalities in these patients extend beyond the aorta. These abnormalities did not have a significant functional effect.

Download Full-text

Transoesophageal: Valves

Echocardiography ◽

10.1093/med/9780198804161.003.0008 ◽

2020 ◽

pp. 543-600

Keyword(s):

Infective Endocarditis ◽

Mitral Valve ◽

Aortic Valve ◽

Tricuspid Valve ◽

Aortic Valve Stenosis ◽

Transoesophageal Echocardiography ◽

Differential Diagnoses ◽

Low Flow ◽

Mitral Valve Stenosis ◽

Pulmonary Valve Stenosis

This chapter deals with the valves in transoesophageal echocardiography. It covers the mitral valve (stenosis, regurgitation, and prolapse), the aortic valve (stenosis and low-flow stenosis and regurgitation), the tricuspid valve, the pulmonary valve (stenosis, regurgitation, and prolapse), infective endocarditis (diagnosis, echocardiographic features, and differential diagnoses).

Download Full-text

CHANGE IN AORTOMITRAL ANNULAR ANGLE AND ANTERIOR MITRAL VALVE LEAFLET LENGTH AFTER TRANSCATHETER AORTIC VALVE REPLACEMENT: IMPLICATIONS FOR TRANSCATHETER MITRAL VALVE REPLACEMENT?

Journal of the American College of Cardiology ◽

10.1016/s0735-1097(17)34532-1 ◽

2017 ◽

Vol 69 (11) ◽

pp. 1143

Author(s):

Abdallah Sanaani ◽

Prakash Harikrishnan ◽

Tanya Dutta ◽

Mala Sharma ◽

Srikanth Yandrapalli ◽

...

Keyword(s):

Mitral Valve ◽

Aortic Valve ◽

Aortic Valve Replacement ◽

Valve Replacement ◽

Mitral Valve Replacement ◽

Transcatheter Aortic Valve Replacement ◽

Valve Leaflet ◽

Mitral Valve Leaflet ◽

Transcatheter Aortic Valve ◽

Transcatheter Mitral Valve Replacement

Download Full-text

Infective Endocarditis of the Aortic Valve with Anterior Mitral Valve Leaflet Aneurysm

Texas Heart Institute Journal ◽

10.14503/thij-15-5322 ◽

2016 ◽

Vol 43 (4) ◽

pp. 345-349 ◽

Cited By ~ 8

Author(s):

Anton Tomsic ◽

Wilson W.L. Li ◽

Marieke van Paridon ◽

Navin R. Bindraban ◽

Bas A.J.M. de Mol

Keyword(s):

Heart Failure ◽

Infective Endocarditis ◽

Mitral Valve ◽

Aortic Valve ◽

Mitral Regurgitation ◽

Antibiotic Therapy ◽

Medical Literature ◽

Severe Mitral Regurgitation ◽

Valve Leaflet ◽

Mitral Valve Leaflet

Mitral valve leaflet aneurysm is a rare and potentially devastating complication of aortic valve endocarditis. We report the case of a 48-year-old man who had endocarditis of the native aortic valve and a concomitant aneurysm of the anterior mitral valve leaflet. Severe mitral regurgitation occurred after the aneurysm perforated. The patient showed no signs of heart failure and completed a 6-week regimen of antibiotic therapy before undergoing successful aortic and mitral valve replacement. In addition to the patient's case, we review the relevant medical literature.

Download Full-text

Two cases of aneurysm of the anterior mitral valve leaflet associated with transcatheter aortic valve endocarditis: A mere coincidence?

Journal of Thoracic and Cardiovascular Surgery ◽

10.1016/j.jtcvs.2009.11.012 ◽

2010 ◽

Vol 140 (3) ◽

pp. e36-e38 ◽

Cited By ~ 20

Author(s):

Nicolo Piazza ◽

Sebastanio Marra ◽

John Webb ◽

Maurizio D'Amico ◽

Mauro Rinaldi ◽

...

Keyword(s):

Mitral Valve ◽

Aortic Valve ◽

Valve Leaflet ◽

Mitral Valve Leaflet ◽

Transcatheter Aortic Valve

Download Full-text

Transthoracic anatomy and pathology: Valves

Echocardiography ◽

10.1093/med/9780198804161.003.0004 ◽

2020 ◽

pp. 287-386

Keyword(s):

Mitral Valve ◽

Aortic Valve ◽

Aortic Valve Stenosis ◽

Transthoracic Echocardiography ◽

Pulmonary Valve ◽

Low Flow ◽

Mitral Valve Stenosis ◽

Pulmonary Valve Stenosis ◽

Prosthetic Valves

This chapter deals with the anatomy and pathology of valves in transthoracic echocardiography. It covers the mitral valve (stenosis, regurgitation, PISA, and prolapse); the aortic valve (stenosis and low-flow stenosis and regurgitation); the bicuspid, quadricuspid, and tricuspid valves; carcinoid heart syndrome; the pulmonary valve (stenosis, regurgitation, and prolapse); prosthetic valves (mechanical and bioprosthetic), along with stenosis, regurgitation, and regurgitation; and finally endocarditis.

Download Full-text