An isolated anterior mitral leaflet cleft: a case report.

Cardiovascular Ultrasound
Giovanni MinardiFrancesco Musumeci

Abstract

The anterior mitral leaflet cleft is an unusual congenital lesion most often encountered in association with other congenital heart defects. The isolated anterior leaflet cleft is quite a rare anomaly and is usually cause of mitral valve regurgitation. The importance of the lesion is that it is often correctable. When feasible, cleft suture and, eventually, annuloplasty are preferable to valve replacement. Echocardiography is the first choice technique in the evaluation of mitral valve disease, providing useful information about valve anatomy and hemodynamic parameters. We present a case of an isolated anterior mitral leaflet cleft producing moderate-severe mitral regurgitation correctly identified by echocardiography and successfully surgically corrected. Isolated cleft is a rare aberration, that has to be known in order to be diagnosed. Transthoracic and transesophageal echocardiography is the most useful non invasive technique for cleft diagnosis and to indicate the right surgical correction.

References

Jan 1, 1995·The Annals of Thoracic Surgery·P Perier, B Clausnizer
Jun 26, 2003·The Annals of Thoracic Surgery·Stella Van PraaghRichard Van Praagh
Jan 26, 2006·European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology·Ana TimóteoJorge Quininha
Aug 25, 2006·The Annals of Thoracic Surgery·Rakesh M SuriThomas A Orszulak
Nov 28, 2006·The Annals of Thoracic Surgery·Siamak MohammadiDenis Desaulniers
Apr 20, 2007·Journal of Cardiovascular Medicine·Carlo FucciRoberto Lorusso
Sep 2, 2008·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Rachid ZegdiJean-Noël Fabiani

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Citations

Apr 27, 2019·Echocardiography·Sara Moura-FerreiraRicardo Fontes-Carvalho

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Methods Mentioned

BETA
imaging technique

Software Mentioned

3DE

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