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European Journal of Echocardiography Advance Access originally published online on February 26, 2009
European Journal of Echocardiography 2009 10(4):567-568; doi:10.1093/ejechocard/jep016
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

Anterior leaflet on the leash: unusual cause of congenital severe mitral regurgitation

Piotr Hoffman, Maria Kordybach*, Jacek Rózanski, Mariusz Kusmierczyk and Miroslaw Kowalski

Institute of Cardiology, Alpejska 42, 04-628 Warsaw, Poland

Received 14 December 2008; accepted after revision 7 February 2009; online publish-ahead-of-print 26 February 2009.

* Corresponding author. Tel: +48 22 343 4263; fax: +48 22 343 4538. E-mail address: mkordybach{at}ikard.pl


  Abstract

Isolated-congenital mitral regurgitation is infrequently seen in adults. In its mechanism, the entire mitral apparatus or different components separately can play a role [Gallet B. Use of echocardiography in mitral regurgitation for the assessment of its mechanism and aetiology for the morphological analysis of the mitral valve. Ann Cardiol Angeiol 2003;52(2):70–7; Valdes-Cruz LM, O'Cayre R. Echocardiographic Diagnosis of Congenital Heart Disease. Philadelphia, NY: Lippincott-Raven; 1998; Carpentier A, Branchini B, Cour JC, Asfaou E, Villani M, Deloche A et al. Congenital malformations of the mitral valve in children. Pathology and surgical treatment. J Thorac Cardiovasc Surg 1976;72: 854–66]. We report a case of an unusual congenital mitral regurgitation resulting from restriction of the mitral leaflet caused by thick fibrotic tissue connecting left atrial roof and the anterior leaflet precluding sufficient coaptation. To the best of our knowledge, this pathology has never been reported before.

Keywords: Congenital mitral regurgitation; Transthoracic echocardiography; Mitral valve repair


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