Perforated Mitral Valve Aneurysm in the Anterior Leaflet Associated With Lateral Scallop Prolapse

Noriko Okahashi; Nozomi Watanabe; Takashi Akasaka; Maki Akiyama; Nozomi Wada; Takahiro Kawamoto; Kiyoshi Yoshida

doi:10.2303/jecho.3.46

Images in Cardiovascular Medicine

Perforated Mitral Valve Aneurysm in the Anterior Leaflet Associated With Lateral Scallop Prolapse

Noriko Okahashi, Nozomi Watanabe, Takashi Akasaka, Maki Akiyama, Nozomi Wada, Takahiro Kawamoto, Kiyoshi Yoshida

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Keywords: transesophageal echocardiography, mitral valve aneurysm, mitral valve prolapse

JOURNAL FREE ACCESS

2005 Volume 3 Issue 1 Pages 46-47

DOI https://doi.org/10.2303/jecho.3.46

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Abstract

We report a case with perforated mitral valve aneurysm in the anterior leaflet associated with lateral scallop prolapse. Transesophageal echocardiography (TEE) revealed an apparent prolapse of the lateral segment of the mitral leaflet with mitral regurgitation and a perforated aneurysm in the anterior leaflet of the mitral valve. In this patient, an eccentric regurgitant jet toward the anterior leaflet due to lateral scallop prolapse caused structural weakening and then the aneurysm in the anterior leaflet.

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