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Case Reports
01 (
02
); 025-027
doi:
10.1055/s-0038-1656391

A Rare Case of Spontaneous Mitral Leaflet Perforation Leading to Severe Mitral Regurgitation

DM student, Department of Cardiology, NIMS, India
Asst. Professor of Department of Cardiology, NIMS, India
Address for correspondence ashokari@gmail.com
Licence
This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Disclaimer:
This article was originally published by Thieme Medical and Scientific Publishers Private Ltd. and was migrated to Scientific Scholar after the change of Publisher; therefore Scientific Scholar has no control over the quality or content of this article.

Abstract

Abstract

Spontaneous mitral leaflet perforations are rare. We are reporting a 60 year old hypertensive female patient admitted with pulmonary edema with clinically short systolic murmur at apex without ischemic changes on ECG. There is no h/o chest pain, fever, blunt trauma of chest. TTE no RWMA, good bi- ventricular function, a posteriorly directed eccentric moderate – severe mitral regurgitation, normal LA, LV, no vegetation or prolapsed. TEE after stabilization showed whole in body of AML at its midpoint leading to severe regurgitant jet in to LA with Vena contracta of 0.8 mm. All the papillary muscles were intact and there is no prolapse of leaflets and no vegetation. Cardiac catheterization revealed increased LVEDP and PCWP with mild PAH with normal coronary arteries.

Keywords

Spontaneous rupture
mitral leaflet.

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