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Thorac Cardiovasc Surg Rep 2015; 04(01): 034-036
DOI: 10.1055/s-0034-1394104
Case Report: Cardiac
Georg Thieme Verlag KG Stuttgart · New York

Severe Mitral Regurgitation Secondary to Atresia of the Posterior Mitral Valve Leaflet in the Adult: Is Repair Always Best Practice?

Vijay Joshi
1   Department of Cardiac Surgery, Nottingham City Hospital, Nottingham, United Kingdom
,
Kaye Laurie
1   Department of Cardiac Surgery, Nottingham City Hospital, Nottingham, United Kingdom
,
Julian Skoyles
2   Department of Cardiac Anaesthesia, Nottingham City Hospital, Nottingham, United Kingdom
,
David Richens
1   Department of Cardiac Surgery, Nottingham City Hospital, Nottingham, United Kingdom
› Author Affiliations
Further Information

Publication History

15 December 2013

19 August 2014

Publication Date:
15 December 2014 (online)

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Abstract

We describe a case of a 66-year-old woman with severe mitral regurgitation secondary to posterior leaflet atresia of the mitral valve. Perioperative transesophageal echocardiography suggested the possibility of an absent posterior leaflet with complete prolapse of the anterior leaflet. We questioned the functional outcome if repair was attempted; therefore, mitral valve replacement was performed. We present a case outlining the successful management of this rare condition in an adult as well as a review of current literature.

Keywords

cardiac surgery - mitral valve repair - heart valve disease
 

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