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THE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


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The Journal of Cardiovascular Surgery 2000 June;41(3):393-4

language: English

Ruptured mitral valve aneurysm in a patient with quadricuspid aortic valve

Goh K., Yamamoto H., Inaba M., Kakuchi H. *, Sasajima T.

From the ­First Depart­ment of Sur­gery
*­First Depart­ment of Med­i­cine Asa­hi­kawa Med­ical Col­lege Asa­hi­kawa, ­Japan


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Mitral aneu­rysm is com­monly asso­ciated ­with infec­tious endo­car­ditis of the ­aortic ­valve. In ­rare ­instances, it is asso­ciated ­with ­other under­lying inflam­ma­tory or meta­bolic dis­or­ders. A 62-year-old man ­with ­mitral ­valve insuf­fi­ciency ­with mod­erate ­aortic ­valve insuf­fi­ciency under­went oper­a­tion. Oper­a­tive find­ings ­were the rup­tured aneu­rysm of the ­mitral ­valve in asso­ci­a­tion ­with the cal­ci­fied quad­ri­cuspid ­aortic ­valve. ­There was no evi­dence of infec­tion in the ­mitral ­valve and the ­aortic ­valve. The ­mitral ­valve was ­repaired, the ­aortic ­valve ­replaced, and Cox ­Maze pro­ce­dure ­added. A ­rare com­bi­na­tion of ­mitral and ­aortic ­valve ­lesions ­without endo­car­ditis sug­gested ­that mechan­ical ­stress ­alone may ­induce ­mitral ­valve aneu­rysm.

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