Abstract
Mitral valve aneurysms (MVA) are most frequently associated with endocarditis. Echocardiography is the method of choice for diagnosis, and color flow imaging is an important, easy method to detect MVA ruptures. We aimed to study the clinical and echocardiographic findings and their relation to the mechanism of aneurysm formation. We reviewed clinical and echocardiographic records of 18 patients during a 17-year period, corresponding to 0.02% of the total studies performed at our institution. All patients underwent transthoracic echocardiogram (TTE), and all except two underwent transesophageal echocardiogram (TEE). The aneurysm was located either on the anterior leaflet (16 cases) or on the posterior leaflet (two cases). In seven cases, the probable aneurysm formation mechanism was an aortic regurgitant jet striking the anterior mitral leaflet. Perforation was present in 17 (94.4%) patients, and 10 (55.5%) cases presented more than one aneurysm. No patients underwent surgery exclusively because of the echocardiography finding. Different etiologies and formation mechanisms can occur in MVA. Echocardiography plays a fundamental role, providing meticulous examination of the mitral valve anatomy and flow. Unlike standard recommenda...Continue Reading
References
Mar 1, 1990·Chest·S O ChuaJ S Hung
Feb 1, 1989·European Heart Journal·P DecrolyM Englert
Feb 1, 1986·European Heart Journal·J L VandenbosscheJ L Leclerc
Aug 1, 1968·The American Journal of Cardiology·S Jarcho
Nov 1, 1984·International Journal of Cardiology·A RückelJ Meyer
Sep 1, 1983·Journal of the American College of Cardiology·C L ReidS H Rahimtoola
Jul 22, 1982·The New England Journal of Medicine·M G LebwohlR Fleischmajer
Nov 1, 1993·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·M ChanglaniS Moss
Nov 1, 1993·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·K G GinJ H Bilbey
Aug 7, 1990·Echocardiography·M ShakudoP M Shah
Jul 15, 1999·The American Journal of Cardiology·I VilacostaW Stoermann
Jul 13, 2002·European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology·S de CastroN G Pandian
Jul 10, 2003·Echocardiography·Marcelo L C VieiraJosé A F Ramires
Feb 1, 1965·Circulation·M G CRISCITIELLOW SCHOEHWETTER
Nov 25, 2004·The Annals of Thoracic Surgery·Changqing GaoBojun Li
Dec 2, 2008·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Lily ZhangHisham Dokainish
Jul 14, 2010·Journal of the American College of Cardiology·Hector I MichelenaJoseph Dearani
Jan 15, 2014·The International Journal of Cardiovascular Imaging·Ahmet GulerMehmet Ozkan
Aug 23, 2016·Texas Heart Institute Journal·Anton TomsicBas A J M de Mol
Oct 22, 2016·Revista Portuguesa De Cardiologia : Orgão Oficial Da Sociedade Portuguesa De Cardiologia = Portuguese Journal of Cardiology : an Official Journal of the Portuguese Society of Cardiology·Maria João SousaSevero Torres
Nov 24, 2016·BMC Cardiovascular Disorders·Takao KonishiShinya Tanaka
Citations
Oct 16, 2019·Journal of Cardiovascular Imaging·Marta Fontes OliveiraSevero Torres
Mar 2, 2021·CASE : Cardiovascular Imaging Case Reports·Reza ReyaldeenBo Xu
May 11, 2021·Indian Journal of Thoracic and Cardiovascular Surgery : Official Organ, Association of Thoracic and Cardiovascular Surgeons of India·Ankur AgarwalAjitkumar Valaparambil