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Rare Case of Unileaflet Mitral Valve

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초록

Unileaflet mitral valve is the rarest of the congenital mitral valve anomalies and is usually life threatening in infancy due to severe mitral regurgitation (MR). In most asymptomatic individuals, it is mostly due to hypoplastic posterior mitral leaflet. We present a 22-year-old male with palpitations, who was found to have an echocardiogram revealing an elongated anterior mitral valve leaflet with severely hypoplastic posterior mitral valve leaflet appearing as a unileaflet mitral valve without MR. Our case is one of the 11 reported cases in the literature so far. We hereby review those cases and conclude that these patients are likely to be at risk of developing worsening MR later in their lives.

Abstract

Unileaflet mitral valve is the rarest of the congenital mitral valve anomalies and is usually life threatening in infancy due to severe mitral regurgitation (MR). In most asymptomatic individuals, it is mostly due to hypoplastic posterior mitral leaflet. We present a 22-year-old male with palpitations, who was found to have an echocardiogram revealing an elongated anterior mitral valve leaflet with severely hypoplastic posterior mitral valve leaflet appearing as a unileaflet mitral valve without MR. Our case is one of the 11 reported cases in the literature so far. We hereby review those cases and conclude that these patients are likely to be at risk of developing worsening MR later in their lives.

참고문헌 (7)

  1. Espinola-Zavaleta N, "Three-dimensional echocardiography in congenital malformations of the mitral valve", J Am Soc Echocardiogr, 15, pp.468~472 (2002)
  2. Bär H, "Prevalence of asymptomatic mitral valve malformations", Clin Res Cardiol, 98, pp.305~309 (2009)
  3. Bezgin T, "Mitral valve with a single leaflet", Turk Kardiyol Dern Ars, 42, pp.80~82 (2014)
  4. Caciolli S, "Severe hypoplasia of the posterior mitral leaflet", Ann Thorac Surg, 86, pp.1978~1979 (2008)
  5. Kanagala P, "Functionally uni-leaflet mitral valves in a family: a case series", Eur J Echocardiogr, 11, pp.E27~ (2010)
  6. Ozkan H, "Agenesis of the mitral posterior leaflet in elderly", Ann Thorac Surg, 97, pp.319~321 (2014)
  7. Candan O, "Uni-leaflet mitral valve", Eur J Echocardiogr, 12, pp.640~ (2011)

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