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Cleft Mitral valve

Hale Unal Aksu, Muzaffer Aslan, Derya Ozturk, Ahmet Arif Yalcin, Aydın Yıldırım
A 37 year-old female patient in whom the transthoracic echocardiography examination revealed dilatation of left heart chambers with left ventricular ejection fraction of 30% and moderate-to-severe mitral valve regurgitation was admitted to our hospital. On 2DTEE examination, mitral valve was normal; however, on 3D images, clefts of both anterior and posterior leaflets were revealed. Isolated cleft mitral valve without any other feature of atrioventricular septal defect is uncommon. 2D echocardiography has limited capability in defining the complex 3D anatomic characteristics of the cleft...
August 22, 2016: Echocardiography
Hani M Mahmoud, Mohamed Hosny, Peter Philip, Kerolos Wagdy, Ahmed Kharabish, Wesam El Mozy, Magdi Yacoub
Atrial septal defects (ASDs) account for approximately 6%-10% of congenital heart defects. The well-known types of atrial septal communications are the ostium secundum, ostium primum, sinus venosus types, and coronary sinus defects. A 50-year-old female was referred for TEE for better assessment of MR severity and mechanism. 2D/3D-TEE showed a rare combination of different abnormalities; bi-leaflet mitral valve prolapse, cleft P2, cor triatriatum sinister, and a tunnel-shaped IAS communication. To the best of our knowledge, this is a very rare case with a rare form of atrial septal defect that was not described before...
August 22, 2016: Echocardiography
Begüm Uygur, Hale Ünal Aksu, Abdurrahman Eksik
No abstract text is available yet for this article.
June 2016: Anatolian Journal of Cardiology
Álvaro García-Ropero, Marcelino Cortés García, Gonzalo Aldamiz Echevarría, Jerónimo Farré Muncharaz
A previously non-described cause of mitral regurgitation is presented. An asymptomatic 50-year old male who was casually diagnosed of mitral valve Barlow's disease underwent cardiac surgery due to severe mitral regurgitation. In the operating theatre, a longitudinal fissure of 1.5-2.0 cm length, along the posterior mitral leaflet, was found responsible for the insufficiency. This defect had features of a potential congenital origin and it was successfully repaired with direct suture. Whether it is an atypical mitral cleft, a variation of Barlow's morphology spectrum or a new congenital heart defect remains unclear...
September 2016: Interactive Cardiovascular and Thoracic Surgery
Giovanni Benfari, Lucia Rossetti, Andrea Rossi, Giovanni Battista Luciani
No abstract text is available yet for this article.
August 2016: Journal of Thoracic and Cardiovascular Surgery
S Puvabanditsin, G Herrera-Garcia, N Gengel, K Hussein, M February, J Mayne, R Mehta
We report on a term first born dichorionic-diamniotic twin with deletion of the distal long arm of chromosome 13, partial trisomy of the short arm of chromosome 4, intrauterine growth retardation, and multiple anomalies including microcephaly, colpocephaly, absent corpus callosum, bulbous tip of the nose, large and low set ears, macroglossia, thin upper lip, double outlet right ventricle, atria/ventricular septal defect, cleft mitral valve, pulmonary stenosis, single umbilical artery, multicystic dysplastic left kidney, sacral dimple, anterior displacement of anus, simian creases, abnormal thumb (congenital clasped thumb), overlapping toes, and congenital hypothyroidism...
2016: Genetic Counseling
Cláudio Guerreiro, Conceição Fonseca, José Ribeiro, Ricardo Fontes-Carvalho
No abstract text is available yet for this article.
August 2016: Echocardiography
Ayoub El Hammiri, Abdenasser Drighil, Sanaa Benhaourech
BACKGROUND: Isolated cleft mitral valve (ICMV) may occur alone or in association with other congenital heart lesions. The aim of this study was to describe the profile of cardiac lesions associated with ICMV and their potential impact on therapeutic management. METHODS: We conducted a descriptive study with data retrieved from the Congenital Heart Disease (CHD) single-center registry of our institution, including patients with ICMV registered between December 2008 and November 2014...
May 2016: Arquivos Brasileiros de Cardiologia
Nuno Moreno, Jorge Almeida, Mário Jorge Amorim
In this report, we present the case of an adult male with severe mitral regurgitation due to an atrioventricular septal defect. Anatomical assessment by two- and three-dimensional transesophageal echocardiography was essential for detailed morphological characterization and surgical planning. The different features of a 'cleft' in an atrioventricular septal defect compared to an anterior leaflet cleft in an otherwise normal mitral valve are here discussed.
March 2016: Portuguese Journal of Cardiology: An Official Journal of the Portuguese Society of Cardiology
Siva Prasad Veerbhadran, Vivek Velayudhan Pillai, Bijulal Sasidharan, Jayakumar Karunakaran
BACKGROUND AND AIM OF THE STUDY: Congenital abnormalities of the tricuspid valve (TV), including dysplasia, straddling, and those associated with other congenital heart disease, are rare causes of tricuspid regurgitation (TR). In congenital TV anomalies there can be varying levels of abnormalities of leaflet and subvalvular structures. Herein is reported a case of TV cleft with absent chordae, and a technique of TV repair. METHODS: A 14-year-old boy was found to have severe TR due to dysplasia of the anterior TV leaflet...
July 2015: Journal of Heart Valve Disease
Issam El-Rassi, Fatimah Charafedine, Mariane Majdalani, Mariam Arabi, Daniele Khater, Fadi Bitar
Long-term survival rate of patients operated for partial atrioventricular (AV) canal is lower than that of the general population, and late complications are relatively significant: between 10 and 30% of operated patients present with left AV valve regurgitation, and up to 25% have to be reoperated for valve repair or replacement, left ventricular outflow tract obstruction or residual atrial septal defect. Because the left AV valve regurgitation is the most common complication following surgery, technical details in the surgical management of the mitral valve are the most important aspects of this procedure; for example, the decision to close the cleft and to perform an annuloplasty...
2015: Multimedia Manual of Cardiothoracic Surgery: MMCTS
Qiao Li, Ke Lin, Chang-ping Gan, Yuan Feng
The traditional approach for treating aortic coarctation with intracardiac anomalies in adults is surgery using 2 surgical incisions or a two-stage hybrid method with a peripheral artery pathway that requires intervention. This paper reports a one-stage hybrid procedure to treat this type of congenital heart disease using 1 surgical incision combined with an ascending aorta puncture intervention approach as transaortic intervention approach. Here, we present 2 aortic coarctation cases; 1 complicated by ventricular septal defect and patent ductus arteriosus, and another complicated by an incomplete atrioventricular septal defect and mitral valve cleft...
December 2015: Annals of Thoracic Surgery
Makoto Ando, Yukihiro Takahashi
BACKGROUND: Intricate repairs performed for adult mitral valve disease may not be feasible in young children because of their small annulus, future growth and also fragile tissue. METHODS AND RESULTS: Mitral valve repair was performed in 51 patients (1980-2011) aged younger than 5 years. The median follow-up was 3.0 (maximum, 24.2) years. Commissural annuloplasty technique was performed solely in 19 of 37 patients with coexisting cardiac disease. In 2 patients, Alfieri's edge-to-edge technique was used...
2016: Circulation Journal: Official Journal of the Japanese Circulation Society
J Fleerakkers, I Degrieck, F Casselman
Mitral valve regurgitation caused by an isolated cleft of the anterior leaflet of the mitral valve is a rare condition, usually corrected early in life. We report the case of a 66 year old patient with an isolated cleft, which was successfully corrected through a minimally-invasive approach, demonstrating good visibility and direct closure of the cleft.
September 2015: Acta Chirurgica Belgica
Hacı Ahmet Kasapkara, Abdullah Nabi Aslan, Hakan Süygün, Engin Bozkurt
No abstract text is available yet for this article.
September 2015: Türk Kardiyoloji Derneği Arşivi: Türk Kardiyoloji Derneğinin Yayın Organıdır
Sarah M Depenbrock, Lance C Visser, Rebecca A Kohnken, Duncan S Russell, Katharine M Simpson, John D Bonagura
A 5-week-old Holstein heifer calf presented for emergency treatment of signs referable to gastrointestinal disease and hypovolemic shock. Fluid resuscitation uncovered clinical signs of primary cardiac disease and echocardiography revealed multiple congenital cardiac defects. Malformations included a cleft anterior mitral valve leaflet resembling an isolated cleft mitral valve and an apically-located muscular ventricular septal defect. The echocardiographic and postmortem findings associated with these defects are presented and discussed in this report...
September 2015: Journal of Veterinary Cardiology: the Official Journal of the European Society of Veterinary Cardiology
Marcelo Haertel Miglioranza, Denisa Muraru, Sorina Mihaila, José Carlos de Araujo Haertel, Sabino Iliceto, Luigi Paolo Badano
No abstract text is available yet for this article.
May 2015: Arquivos Brasileiros de Cardiologia
Luis G Quinonez, Pedro J Del Nido
The surgical treatment of mitral valve disease in children is a challenging problem. Mitral stenosis and regurgitation may occur in isolation or together. Mitral valve repair is almost always preferable to replacement. Mitral valve replacement is not an ideal alternative to repair due to limitations of size, growth, structural valve degeneration, anticoagulation and poor survival. Surgical repair of congenital mitral stenosis must address the multiple levels of obstruction, including resection of the supramitral ring, thinning of leaflets and mobilization of the subvalvular apparatus...
2015: Multimedia Manual of Cardiothoracic Surgery: MMCTS
Francesca Mantovani, Marie-Annick Clavel, Ori Vatury, Rakesh M Suri, Sunil V Mankad, Joseph Malouf, Hector I Michelena, Sonia Jain, Luigi Paolo Badano, Maurice Enriquez-Sarano
OBJECTIVES: Cleft-like indentations (CLI) are deep separations between scallops of the mitral posterior leaflet observed in myxomatous mitral valve disease (MMVD), but their diagnosis, mechanisms and implications are unknown. Using 3D transoesophageal echocardiography (3DTOC), we aimed at assessing diagnostic accuracy and defining mechanisms of CLI in patients undergoing surgery for MMVD. METHODS: 3DTOC of mitral valve was acquired in 49 patients with MMVD and severe regurgitation prior to valve repair...
July 2015: Heart: Official Journal of the British Cardiac Society
Jen-Li Looi, Alex Pui-Wai Lee, Fang Fang, Ming C Hsiung, Jing-Ping Sun, Wei-Hsian Yin, Jeng Wei, Shen-Kou Tsai, Song Wan, Randolph Hl Wong, Malcolm J Underwood, Qing-Shan Lin, Chun-Na Jin, Liu Chen, Cheuk-Man Yu
BACKGROUND: Mitral and aortic valves are coupled via fibrous tissue. This coupling is considered to be important for cardiac function before and after mitral valve surgery. The relationship between mitral-aortic coupling and different types of mitral regurgitation (MR) is not completely understood. METHODS AND RESULTS: Real-time three-dimensional transesophageal echocardiography (RT3D-TEE) was performed in 133 subjects: 30 normal subjects, 15 patients with Carpentier type I MR (annular dilatation and congenital cleft), 40 type II (mitral valve prolapse), 20 type IIIa (rheumatic) and 28 type IIIb (ischemic mitral regurgitation)...
October 2015: Clinical Research in Cardiology: Official Journal of the German Cardiac Society
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