Acute Multiple Cerebral Infarction in a Patient with an Accessory Mitral Valve

A 96-year-old woman developed hemiparesis 2 weeks after orthopedic surgery. Magnetic resonance imaging revealed multiple cerebral infarctions in the bilateral hemisphere. Transthoracic echocardiography revealed a mobile structure attached to the anterior mitral leaflet that protruded toward the left...

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Detalles Bibliográficos
Autores principales: Misumi, Ikuo, Nagao, Asako, Iwamoto, Katsuya, Honda, Tsuyoshi, Ishii, Masanobu, Ueyama, Hidetsugu, Maeda, Yasushi, Ishizaki, Masatoshi, Kurisaki, Ryoichi, Okazaki, Toshio, Yamashita, Tetsuji, Fujimoto, Akiko, Honda, Yumi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5337459/
https://www.ncbi.nlm.nih.gov/pubmed/28090044
Descripción
Sumario:A 96-year-old woman developed hemiparesis 2 weeks after orthopedic surgery. Magnetic resonance imaging revealed multiple cerebral infarctions in the bilateral hemisphere. Transthoracic echocardiography revealed a mobile structure attached to the anterior mitral leaflet that protruded toward the left ventricular outflow tract. The structure was identified as an accessory mitral valve. Doppler echocardiography showed that there was no significant left ventricular outflow obstruction. This is a rare case of a silent accessory mitral valve that was detected after multiple cerebral infarctions.

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