Disappearance of electrocardiographic abnormalities associated with the arrhythmic pattern of a Barlow disease after surgical mitral valve repair

We describe the case of a 46-year old female with a Barlow’s disease (MVP) characterized by systolic curling of posterior left ventricular (LV) wall + significant mitral annular disjunction + complex ventricular arrhythmias + syncope + inverted T waves in inferolateral leads in whom a successful sur...

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Main Authors: Matteo Augello, Luca Lanzarini
Format: Article
Language:English
Published: MDPI AG 2017-04-01
Series:Clinics and Practice
Subjects:
Online Access:https://www.clinicsandpractice.org/index.php/cp/article/view/946
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author Matteo Augello
Luca Lanzarini
author_facet Matteo Augello
Luca Lanzarini
author_sort Matteo Augello
collection DOAJ
description We describe the case of a 46-year old female with a Barlow’s disease (MVP) characterized by systolic curling of posterior left ventricular (LV) wall + significant mitral annular disjunction + complex ventricular arrhythmias + syncope + inverted T waves in inferolateral leads in whom a successful surgical mitral valve rapair determined the disappearance not only of the echocardiographic but also the electrocardiographic abnormalities (in particular the inferolateral T waves inversion on basal electrocardiogram and the complex basal arrhythmic pattern). This case demonstrates that electrocardiographic abnormalities may disappear after the surgical correction of the mechanical stretch imposed on the inferior LV free wall by the prolapsing mitral valve leaflets. Electrocardiographic changes remain an important and easy marker to recognize for the identification of a high-risk subgroup of MVP patients.
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spelling doaj.art-913ac0c4ec00464fa1e694949af4576a2022-12-22T02:12:18ZengMDPI AGClinics and Practice2039-72752039-72832017-04-017210.4081/cp.2017.946384Disappearance of electrocardiographic abnormalities associated with the arrhythmic pattern of a Barlow disease after surgical mitral valve repairMatteo Augello0Luca Lanzarini1Department of Cardiology, IRCCS-Policlinico S. Matteo, PaviaDepartment of Cardiology, IRCCS-Policlinico S. Matteo, PaviaWe describe the case of a 46-year old female with a Barlow’s disease (MVP) characterized by systolic curling of posterior left ventricular (LV) wall + significant mitral annular disjunction + complex ventricular arrhythmias + syncope + inverted T waves in inferolateral leads in whom a successful surgical mitral valve rapair determined the disappearance not only of the echocardiographic but also the electrocardiographic abnormalities (in particular the inferolateral T waves inversion on basal electrocardiogram and the complex basal arrhythmic pattern). This case demonstrates that electrocardiographic abnormalities may disappear after the surgical correction of the mechanical stretch imposed on the inferior LV free wall by the prolapsing mitral valve leaflets. Electrocardiographic changes remain an important and easy marker to recognize for the identification of a high-risk subgroup of MVP patients.https://www.clinicsandpractice.org/index.php/cp/article/view/946Barlow diseasearrhythmiassurgical mitral valve repair.
spellingShingle Matteo Augello
Luca Lanzarini
Disappearance of electrocardiographic abnormalities associated with the arrhythmic pattern of a Barlow disease after surgical mitral valve repair
Clinics and Practice
Barlow disease
arrhythmias
surgical mitral valve repair.
title Disappearance of electrocardiographic abnormalities associated with the arrhythmic pattern of a Barlow disease after surgical mitral valve repair
title_full Disappearance of electrocardiographic abnormalities associated with the arrhythmic pattern of a Barlow disease after surgical mitral valve repair
title_fullStr Disappearance of electrocardiographic abnormalities associated with the arrhythmic pattern of a Barlow disease after surgical mitral valve repair
title_full_unstemmed Disappearance of electrocardiographic abnormalities associated with the arrhythmic pattern of a Barlow disease after surgical mitral valve repair
title_short Disappearance of electrocardiographic abnormalities associated with the arrhythmic pattern of a Barlow disease after surgical mitral valve repair
title_sort disappearance of electrocardiographic abnormalities associated with the arrhythmic pattern of a barlow disease after surgical mitral valve repair
topic Barlow disease
arrhythmias
surgical mitral valve repair.
url https://www.clinicsandpractice.org/index.php/cp/article/view/946
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AT lucalanzarini disappearanceofelectrocardiographicabnormalitiesassociatedwiththearrhythmicpatternofabarlowdiseaseaftersurgicalmitralvalverepair