Two patients had mitral valve repair for severe regurgitation in the presence of a Marfan aortic root aneurysm. Concomitant personalized external aortic root support was used at the same operation to halt aneurysm progression and to correct mild aortic regurgitation.

BACKGROUND Mitral valve prolapse syndrome (MVPS) and MASS phenotype (MASS) are Marfan-like syndromes that exhibit aortic dilatation and mitral valve prolapse. Unlike in Marfan syndrome (MFS), the presence of ectopia lentis and aortic aneurysm preclude diagnosis of MVPS and MASS. However, it is unclear whether aortic dilatation and mitral valve prolapse remain stable in MVPS or MASS or whether t...

prolapsed mitral valve syndrome is a common, benign disorder with prevalence of %0.3-6 in population. this syndrome also is known as barlows syndrome and flaapy mitral valve syndrome. prolapsed mitral valve is the dropping of one or two mitral valve leaflet(s) into the left atrium during ventricular systole. this malformation leads to incomplete closing of mitral valve and regurgitates the bloo...

A 70-year-old man was admitted to our hospital for surgical treatment of mitral insufficiency. A preoperative echocardiogram revealed a prolapsed anterior mitral leaflet, membranous septal aneurysm (MSA), and unusual chordae extending from the ventricular septum to the anterior mitral leaflet (Movies I and II in the online-only Data Supplement). In surgery, the aneurysm was examined through the...

A quantitative assessment of mitral valve orifice area can be achieved in patients with pure mitral stenosis by cardiac catheterization. In the presence of mitral regurgitation, however, accurate measurement often is impossible because total diastolic flow through the mitral valve frequently is unknow. Using a recently developed real-time, two-dimensional echocardiography system, we are able to...

A 19-year-old man with mitral valve endocarditis and prolapse, intracerebral and intracerebellar hematoma, and a mycotic cerebral aneurysm underwent emergency mitral valve replacement during minimal cardiopulmonary bypass (total priming volume, 800 mL; autologous retropriming, activated clotting time <300 seconds) 1 day after undergoing endovascular coil embolization of the aneurysm. Postoperat...

A 57-year-old man was referred for exertional chest pain and a mediastinal mass. Computed tomographic angiography (CTA) revealed a huge aneurysm arising from the left sinus of Valsalva (Figure 1, Video I in the online-only Data Supplement). The opening of aneurysm was 18 mm in its largest diameter. Because the left coronary arteries were stretched and narrowed, the chest pain was considered to ...

In order to establish the relative prevalence of mitral valve prolapse as diagnosed by two dimensional echocardiography, we studied 100 presumably healthy young women with two dimensional echocardiography and M-mode echocardiography, history, physical examination, electrocardiography, and phonocardiography. Two dimensional echocardiograms were obtained from parasternal, apical, and subcostal ac...

A 57-year-old man was referred for exertional chest pain and a mediastinal mass. Computed tomographic angiography (CTA) revealed a huge aneurysm arising from the left sinus of Valsalva (Figure 1, Video I in the online-only Data Supplement). The opening of aneurysm was 18 mm in its largest diameter. Because the left coronary arteries were stretched and narrowed, the chest pain was considered to ...

OBJECTIVES This study was done to ascertain whether three-dimensional echocardiography can facilitate the diagnosis of mitral valve abnormalities. BACKGROUND The value of the additional information provided by three-dimensional echocardiography compared with two-dimensional multiplane transesophageal echocardiography for evaluation of the mitral valve apparatus has not been assessed. METHOD...