Commissure leaflet prolapse closely mimics anterior mitral leaflet perforation in 2-D image of transesophageal echocardiography
Abstract Background Precise diagnosis of mitral valve regurgitation is challenging, particularly for distinguishing between commissure leaflet prolapse and anterior leaflet perforation, based exclusively on 2-dimensional (2-D) imaging by transesophageal echocardiography. Case 1 Two mitral regurgitat...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2023-10-01
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| Series: | JA Clinical Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40981-023-00659-z |
| _version_ | 1797577513930588160 |
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| author | Kazuto Miyata Sayaka Shigematsu Naoki Miyayama |
| author_facet | Kazuto Miyata Sayaka Shigematsu Naoki Miyayama |
| author_sort | Kazuto Miyata |
| collection | DOAJ |
| description | Abstract Background Precise diagnosis of mitral valve regurgitation is challenging, particularly for distinguishing between commissure leaflet prolapse and anterior leaflet perforation, based exclusively on 2-dimensional (2-D) imaging by transesophageal echocardiography. Case 1 Two mitral regurgitation jets suggesting anterior leaflet perforation, but no regurgitation orifices, were observed in the mid esophageal (ME) 4-chamber view. Multiple 2-D and 3-dimensional (3-D) images revealed prolapse of the anterior (A3) leaflet and posterior commissure, not anterior leaflet perforation. Case 2 A regurgitation jet suggesting an anterior leaflet prolapse with a regurgitation orifice was observed in ME long-axis view. Multiple 2-D and 3-D images showed only anterior commissure prolapse, but no signs of anterior leaflet perforation. Conclusions A regurgitant jet caused by commissure leaflet prolapse closely resembles anterior leaflet perforation in 2-D imaging. Careful evaluation of multiple 2-D and 3-D images, as well as of the regurgitation orifices, is crucially important for making an accurate diagnosis. |
| first_indexed | 2024-03-10T22:10:21Z |
| format | Article |
| id | doaj.art-6c8e363e316f4a4785746d8d2c82ef03 |
| institution | Directory Open Access Journal |
| issn | 2363-9024 |
| language | English |
| last_indexed | 2024-03-10T22:10:21Z |
| publishDate | 2023-10-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | JA Clinical Reports |
| spelling | doaj.art-6c8e363e316f4a4785746d8d2c82ef032023-11-19T12:38:18ZengSpringerOpenJA Clinical Reports2363-90242023-10-01911410.1186/s40981-023-00659-zCommissure leaflet prolapse closely mimics anterior mitral leaflet perforation in 2-D image of transesophageal echocardiographyKazuto Miyata0Sayaka Shigematsu1Naoki Miyayama2Department of Anesthesia, New Heart Watanabe InstituteDepartment of Anesthesia, New Heart Watanabe InstituteDepartment of Anesthesia, New Heart Watanabe InstituteAbstract Background Precise diagnosis of mitral valve regurgitation is challenging, particularly for distinguishing between commissure leaflet prolapse and anterior leaflet perforation, based exclusively on 2-dimensional (2-D) imaging by transesophageal echocardiography. Case 1 Two mitral regurgitation jets suggesting anterior leaflet perforation, but no regurgitation orifices, were observed in the mid esophageal (ME) 4-chamber view. Multiple 2-D and 3-dimensional (3-D) images revealed prolapse of the anterior (A3) leaflet and posterior commissure, not anterior leaflet perforation. Case 2 A regurgitation jet suggesting an anterior leaflet prolapse with a regurgitation orifice was observed in ME long-axis view. Multiple 2-D and 3-D images showed only anterior commissure prolapse, but no signs of anterior leaflet perforation. Conclusions A regurgitant jet caused by commissure leaflet prolapse closely resembles anterior leaflet perforation in 2-D imaging. Careful evaluation of multiple 2-D and 3-D images, as well as of the regurgitation orifices, is crucially important for making an accurate diagnosis.https://doi.org/10.1186/s40981-023-00659-zDiverse mitral regurgitationRegurgitation orificeMitral valve perforation |
| spellingShingle | Kazuto Miyata Sayaka Shigematsu Naoki Miyayama Commissure leaflet prolapse closely mimics anterior mitral leaflet perforation in 2-D image of transesophageal echocardiography JA Clinical Reports Diverse mitral regurgitation Regurgitation orifice Mitral valve perforation |
| title | Commissure leaflet prolapse closely mimics anterior mitral leaflet perforation in 2-D image of transesophageal echocardiography |
| title_full | Commissure leaflet prolapse closely mimics anterior mitral leaflet perforation in 2-D image of transesophageal echocardiography |
| title_fullStr | Commissure leaflet prolapse closely mimics anterior mitral leaflet perforation in 2-D image of transesophageal echocardiography |
| title_full_unstemmed | Commissure leaflet prolapse closely mimics anterior mitral leaflet perforation in 2-D image of transesophageal echocardiography |
| title_short | Commissure leaflet prolapse closely mimics anterior mitral leaflet perforation in 2-D image of transesophageal echocardiography |
| title_sort | commissure leaflet prolapse closely mimics anterior mitral leaflet perforation in 2 d image of transesophageal echocardiography |
| topic | Diverse mitral regurgitation Regurgitation orifice Mitral valve perforation |
| url | https://doi.org/10.1186/s40981-023-00659-z |
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