Abstract
Congenital mitral valve aneurysm is a rather rare abnormality, often asymptomatic in early childhood. The most dangerous complication is perforation of the wall of the aneurysm, which can lead to the development of mitral regurgitation, as a result of which surgical intervention may be required. We present a case of successful correction of the aneurysm of the anterior mitral valve leaflet with prolapse and a breakthrough into the left atrium in a young child.
References
- Jarcho S. Aneurysm of heart valves (Ecker, 1842). Am. J. Cardiol. 1968; 22 (2): 273–6. DOI: 10.1016/0002- 9149(68)90234-8
- Vilacosta I., San Román J.A., Sarriá C., Iturralde E., Graupner C., Batlle E., Peral V., Aragoncillo P., Stoermann W. Clinical, anatomic, and echocardiographic characteristics of aneurysms of the mitral valve. Am. J. Cardiol. 1999; 84 (1): 110–3, A9. DOI: 10.1016/s0002-9149(99)00206-4
- Rückel A., Erbel R. Henkel B., Kramer G., Meyer J. Mitral valve aneurysm revealed by cross-sectional echocardiography in a patient with mitral valve prolapse. Int. J. Cardiol. 1984; 6: 633–7. DOI: 10.1016/0167-5273(84)90010-X 58
- Anyanwu A.C., Adams D.H. Etiologic classification of degenerative mitral valve disease: Barlow's disease and fibroelastic deficiency. Semin. Thorac. Cardiovasc. Surg. 2007; 19 (2): 90–6. DOI: 10.1053/j.semtcvs.2007.04.002
- Guler A., Karabay C.Y., Gursoy O.M., Guler Y., Candan O., Akgun T. et al. Clinical and echocardiographic evaluation of mitral valve aneurysms: a retrospective, single center study. Int. J. Cardiovasc. Imaging. 2014; 30 (3): 535–41. DOI: 10.1007/s10554-014-0365-4
- Archontakis S., Aggeli C., Dimitroglou Y., Koumallos N., Demosthenous M., Sideris K. et al. A perforated mitral valve anterior leaflet aneurysm in a patient presenting with acute pulmonary oedema. Hellenic. J. Cardiol. 2019. PII: S1109- 9666(19)30285-4. DOI: 10.1016/j.hjc.2019.10.009
- Takayama T., Teramura M., Sakai H., Tamaki S., Okabayashi T., Kawashima T. et al. Perforated mitral valve aneurysm associated with Libman-Sacks endocarditis. Intern. Med. 2008; 47 (18): 1605–8. DOI: 10.2169/internalmedicine.47.1068
- Edynak G., Rawson A. Ruptured aneurysm of the mitral valve in a Marfan-like syndrome. Am. J. Cardiol. 1963; 11 (5): 674–7.
- Lebwohl M.G., Distefano D., Prioleau P.G., Uram M., Yannuzzi L.A., Fleischmajer R. Pseudoxanthoma elasticum and mitral-valve prolapse. N. Engl. J. Med. 1982; 307 (4): 228–31. DOI: 10.1056/NEJM198207223070406
- Isilak Z., Uzun M., Yalcin M., Kilicarslan F. An adult patient with the ruptured aneurysm of mitral valve posterior leaflet. Anadolu Kardiyol Derg. 2013; 13 (5): E25. DOI: 10.5152/ akd.2013.160
- Abduvokhidov B.U., Kim A.I., Rogova T.V., Boltabaev I.I., Haritonova S.S. Mitral valve: embryogenesis and anatomopathophysiological peculiarities of its insufficiency. Children’s Heart and Vascular Diseases. 2010; 1: 16–21 (in Russ.).
- Bockeria L.A., Kagramanov I.I., Bondarev Yu.I. Congenital mitral valve insufficiency. Moscow; 2003 (in Russ.).
- Babburi H., Oommen R., Brofferio A., Ilercil A., Frater R., Shirani J. Functional anatomy of the normal mitral apparatus: a transthoracic, two-dimensional echocardiographic study. J. Heart Valve Dis. 2003; 12 (2): 180–5.
- Garcon P., Lavie-Badie Y., Cador R., Bical O., Abbey-Toby A. An unreported congenital anomaly: aneurysm of the lateral half of the mitral valve. Echocardiography. 2015; 32 (10): 1594–6. DOI: 10.1111/echo.12964
About the authors
- Ivan T. Narmaniya, Junior Researcher, ORCID
- Sergey S. Volkov, Cand. Med. Sc., Senior Researcher, ORCID
- Viktoriya V. Plakhova, Dr. Med. Sc., Ultrasonic Diagnostician, ORCID
- Mikhail M. Zelenikin, Dr. Med. Sc., Professor, Chief of the Department, ORCID
