1 Reid J. Mid-systolic clicks. S African Med J 1961; 35: 353 2 Barlow J, Pocock W, Marchand P, et al. The significance of late systolic murmurs. Am Heart J 1963; 66:443-52 3 Markiewicz W, Stoner J, et al. Mitral valve prolapse in one hundred presumably healthy young females. Circulation 1976; 53:464-73 4 Procacci P, Savran S, et al. Prevalence of clinical mitral valve prolapse in 1169 young wom...

Barlow's disease has a complex pathology requiring reconstructive surgery. Despite the complicated surgery it holds a positive outcome. We report a successful case of Barlow's disease who underwent mitral valve reconstructive surgery at our centre. Post-operative echocardiography shows a well-functioning repaired mitral valve without significant mitral regurgitation.

A 32-year-old male patient was admitted to our clinic with complaints of exertional chest pain and shortness of breath. His blood pressure was 120/70 mmHg and his heart rate was 80 bpm. In the physical examination, Grade II/IV mid-diastolic murmur was noted at the cardiac apex with a harsh S1. His electrocardiogram was within normal limits. In transthoracic echocardiography, a mobile, heterogen...

The term mitral valve prolapse (MVP) is used for a particular subset of patients with hyperadrenergic dysautonomia. It occurs when part of a leaflet or both leaflets of the mitral valve extend above the plane of the atrioventricular junction during ventricular systole. The adenylate cyclase activity in MVP dys-autonomia was studied by extraction of enzyme from the erythrocytes from 62 norma...

BACKGROUND Myxomatous mitral valve with prolapse are classically seen with abnormal leaflet apposition during contraction of the heart. Hemodynamic disorders can result from eccentric mitral regurgitation usually caused by chordae tendinae rupture or papillary muscle dysfunction. Echocardiography is the gold standard for evaluation of leaflet flail and prolapse due to high sensitivity and speci...

The role of intraoperative transesophageal echocardiography (TEE) has increased tremendously since its first use in 1979. Today intraoperative TEE is a class I indication for surgical mitral valve reconstruction for evaluation of mitral valve pathology, graduation of mitral regurgitation and detection of potential risk factors as well as post-repair assessment. Real-time three-dimensional TEE o...

122 A 52-year-old patient with a history of rheumatic mitral stenosis was followed periodically at the cardiac outpatient clinic for dyspnea that eventually progressed to dyspnea on minimal exertion. The mitral valve had a score of 8 on echocardiography, basically because of valve thickening and diminished mobility, with minimal calcification. The anatomy of the valve permitted treatment with p...

Left ventricle-coronary sinus fistula and left ventricular pseudoaneurysm are unusual and frightening complications after mitral valve replacement. A 27-year-old female patient underwent mitral valve replacement 5 years previously and trans-thoracic echocardiography showed an outpouching lesion at the atrioventricular groove. It was difficult to differentiate whether the lesion was a left ventr...

Secondary mitral regurgitation (MR) is more frequent, portends a worse prognosis and its diagnostic and management are more difficult in comparison with primary MR. The mechanism of secondary MR is linked to the left ventricle remodeling, while the valve morphology is normal. Surgical treatment of severe secondary MR consists either in mitral valve replacement or in mitral valve repair. The mos...

Pulmonary venous aneurysm is rare and its etiology is still debated. Some studies have shown that acquired aneurysms are caused by an increase in left atrial pressure and mitral regurgitation. However, few reports have provided direct evidence of this pathology. We present a case of pulmonary venous aneurysm diagnosed using a combination of echocardiography and contrast-enhanced computed tomogr...