An isolated anterior mitral leaflet cleft: a case report

Cardiovascular Ultrasound

Case Report

Lidia Boccardi¹  Giovanni Pulignano¹  Giovanni Minardi¹  Carla Manzara¹  Francesco Musumeci¹  Leda Bernardi¹  Paolo Giuseppe Pino¹  Stefania Leonetti¹ 

[1] Cardiodiagnostica non invasiva, Department of Cardiology and Cardiovascular Surgery, Azienda Ospedaliera San Camillo-Forlanini, Rome, Italy;

关键词: Mitral Valve;    Mitral Valve Repair;    Mitral Valve Disease;    Mitral Valve Regurgitation;    Mitral Repair;   

DOI  :  10.1186/1476-7120-8-26

 received in 2010-04-06, accepted in 2010-07-13,  发布年份 2010

来源: Springer

【 摘 要 】

IntroductionThe 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.Case presentationWe present a case of an isolated anterior mitral leaflet cleft producing moderate-severe mitral regurgitation correctly identified by echocardiography and successfully surgically corrected.ConclusionIsolated 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.

【 授权许可】

CC BY   
© Minardi et al; licensee BioMed Central Ltd. 2010