Hypoplasia of the posterior mitral valve leaflet detected in late adulthood

Payam Yazdan-Ashoori, Atoosheh Rohani, Amin Mulji, Harriette G.C. Van Spall

European Heart Journal · 2014 · 16 citations · 0 references

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Abstract

A 76-year-old male with a pacemaker presented with acute pulmonary oedema requiring invasive mechanical ventilation. Transthoracic echocardiography (TTE) revealed a partially flail anterior mitral leaflet, severe mitral regurgitation (MR), and pulmonary hypertension, not present on previous TTEs. Transoesophageal echocardiography (TEE) demonstrated an elongated anterior mitral valve leaflet (AMVL) with a flail A2 …