Papillary Muscle Rupture as a Complication of Barlow’s Disease
نویسندگان
چکیده
INTRODUCTION: Mitral regurgitation (MR) is the second most common valvulopathy worldwide, which can be divided into primary and secondary. According to Carpentier’s classification, MR further three types. Type II, includes Barlow’s disease, described as excessive mobility of mitral valve (MV) leaflets. Morbus Barlow a form degenerative with an incidence 2–3% general population. Echocardiography plays important role in its diagnosis. It usually benign condition, only few severe complications. CASE REPORT: A 75-year-old male history MR, for more than 10 years. On admission, patient presented fatigue dyspnea signs heart failure pleural effusion. auscultation, systolic murmur was noted, on all precordium. The ECG revealed sinus rhythm HR 71/min intermittent ventricular extrasystoles. An immediate transthoracic echocardiography (TTE) performed showing myxomatous degeneration both MV leaflets prolapse posterior leaflet. detected presumption papillary muscle rupture (PMR). also enlarged left atrium ventricle (LVEDd - 67 mm LA 46 mm), preserved function (EF~54%) tricuspid accompanied by pulmonary hypertension. laboratory analyses were within normal ranges. transferred cardiovascular surgery clinic, where repair performed. CONCLUSION: disease finding. Although it rarely present serious complications such PMR, arrhythmias, even sudden cardiac death. first imaging used detection other diseases. Early recognition confirmation TTE or transesophageal echocardiography, appropriate treatment, play key survival overall prognosis.
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ژورنال
عنوان ژورنال: Soth East European Journal of Cardiology
سال: 2022
ISSN: ['1857-9361']
DOI: https://doi.org/10.3889/seejca.2022.6035