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Unique Congenital Malformation of the Mitral Valve Associated with Anomalous Coronary Arteries and Stroke

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초록

A 55-year-old male presented with stroke. Transesophageal echocardiogram and cardiac computed tomography revealed anunrecognized congenital malformation of the anterior mitral leaflet associated with anomalous left coronary circumflex artery,arising from the right coronary artery, diagnosed first by echocardiogram. This case represents a unique unforeseen mitral valveanomaly that might be considered as potential cardiac source of embolism. This finding broadens the spectrum of known mitralvalve anomalies.

Abstract

A 55-year-old male presented with stroke. Transesophageal echocardiogram and cardiac computed tomography revealed anunrecognized congenital malformation of the anterior mitral leaflet associated with anomalous left coronary circumflex artery,arising from the right coronary artery, diagnosed first by echocardiogram. This case represents a unique unforeseen mitral valveanomaly that might be considered as potential cardiac source of embolism. This finding broadens the spectrum of known mitralvalve anomalies.

참고문헌 (9)

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  3. Bär H, "Prevalence of asymptomatic mitral valve malformations", Clin Res Cardiol, 98, pp.305~309 (2009)
  4. 박미희, "Blood Cyst of Subvalvular Apparatus of the Mitral Valve in an Adult", Journal of Cardiovascular Ultrasound, 20(3), pp.146~149 (2012), 한국심초음파학회
  5. Prifti E, "Accessory mitral valve tissue causing left ventricular outflow tract obstruction : case reports and literature review", J Heart Valve Dis, 10, pp.774~778 (2001)
  6. Cil H, "Asymptomatic and isolated accessory mitral valve tissue in adult population : three case reports and review of the literature", Eur Rev Med Pharmacol Sci, 4, pp.74~77 (2012)
  7. Singh B, "Anomalous mitral arcade variant with accessory mitral leaflet and chordae presenting for the first time with acute decompensated heart failure in an adult", Echocardiography, 30, pp.E202~E205 (2013)
  8. Onur Kadir Uysal, "Asymptomatic Accessory Mitral Valve Tissue Diagnosed by Echocardiography", Korean Circulation Journal, 42(11), pp.800~801 (2012), 대한심장학회
  9. Cohen MS, "Echocardiographic imaging of anomalous origin of the coronary arteries", Cardiol Young, 3, pp.26~34 (2010)

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