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Mitral Leaflet Flail as a Late Complication of Infective Endocarditis: A Case Report
Infective Endocarditis (IE) refers to an infection of the endocardial surface of the heart which leads to a wide array of complications, including heart failure, perivalvular abscess, metastatic infection, septic embolization, mycotic aneurysms, neurological and renal complications. Mitral leaflet f...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9273166/ https://www.ncbi.nlm.nih.gov/pubmed/35832763 http://dx.doi.org/10.7759/cureus.25854 |
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author | Ahmed, Rafsan Moaddab, Amirhossein Graham-Hill, Suzette |
author_facet | Ahmed, Rafsan Moaddab, Amirhossein Graham-Hill, Suzette |
author_sort | Ahmed, Rafsan |
collection | PubMed |
description | Infective Endocarditis (IE) refers to an infection of the endocardial surface of the heart which leads to a wide array of complications, including heart failure, perivalvular abscess, metastatic infection, septic embolization, mycotic aneurysms, neurological and renal complications. Mitral leaflet flail (MLF), defined as a failure of leaflet coaptation with the rapid systolic movement of the involved leaflet into the left atrium, is a rare complication of IE which can lead to severe mitral regurgitation. Echocardiography plays a key role in making its diagnosis with transesophageal echocardiograms (TEE), providing greater sensitivity and specificity compared to transthoracic echocardiograms (TTE). MLF is often misdiagnosed, or diagnosis is delayed due to its presentation with non-specific cardiac symptoms. However, early diagnosis with echocardiography and prompt surgical correction leads to improved long-term survival. Here we have presented a case of a 71-year-old female with a past medical history of IE nine years ago who was referred to the cardiology clinic for one month of exertional dyspnea. TTE showed severe mitral regurgitation, and subsequent TEE confirmed flail mitral leaflet. |
format | Online Article Text |
id | pubmed-9273166 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-92731662022-07-12 Mitral Leaflet Flail as a Late Complication of Infective Endocarditis: A Case Report Ahmed, Rafsan Moaddab, Amirhossein Graham-Hill, Suzette Cureus Cardiac/Thoracic/Vascular Surgery Infective Endocarditis (IE) refers to an infection of the endocardial surface of the heart which leads to a wide array of complications, including heart failure, perivalvular abscess, metastatic infection, septic embolization, mycotic aneurysms, neurological and renal complications. Mitral leaflet flail (MLF), defined as a failure of leaflet coaptation with the rapid systolic movement of the involved leaflet into the left atrium, is a rare complication of IE which can lead to severe mitral regurgitation. Echocardiography plays a key role in making its diagnosis with transesophageal echocardiograms (TEE), providing greater sensitivity and specificity compared to transthoracic echocardiograms (TTE). MLF is often misdiagnosed, or diagnosis is delayed due to its presentation with non-specific cardiac symptoms. However, early diagnosis with echocardiography and prompt surgical correction leads to improved long-term survival. Here we have presented a case of a 71-year-old female with a past medical history of IE nine years ago who was referred to the cardiology clinic for one month of exertional dyspnea. TTE showed severe mitral regurgitation, and subsequent TEE confirmed flail mitral leaflet. Cureus 2022-06-11 /pmc/articles/PMC9273166/ /pubmed/35832763 http://dx.doi.org/10.7759/cureus.25854 Text en Copyright © 2022, Ahmed et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Cardiac/Thoracic/Vascular Surgery Ahmed, Rafsan Moaddab, Amirhossein Graham-Hill, Suzette Mitral Leaflet Flail as a Late Complication of Infective Endocarditis: A Case Report |
title | Mitral Leaflet Flail as a Late Complication of Infective Endocarditis: A Case Report |
title_full | Mitral Leaflet Flail as a Late Complication of Infective Endocarditis: A Case Report |
title_fullStr | Mitral Leaflet Flail as a Late Complication of Infective Endocarditis: A Case Report |
title_full_unstemmed | Mitral Leaflet Flail as a Late Complication of Infective Endocarditis: A Case Report |
title_short | Mitral Leaflet Flail as a Late Complication of Infective Endocarditis: A Case Report |
title_sort | mitral leaflet flail as a late complication of infective endocarditis: a case report |
topic | Cardiac/Thoracic/Vascular Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9273166/ https://www.ncbi.nlm.nih.gov/pubmed/35832763 http://dx.doi.org/10.7759/cureus.25854 |
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