Asymptomatic and isolated accessory mitral valve tissue in an adult
Accessory mitral valve (AMV) tissue is a congenital anomaly that occurs in association with other congenital anomalies, and is an uncommon cause of left ventricular outflow tract obstruction. It is usually detected in early childhood when accompanied by symptoms of obstruction of the left ventricula...
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Veröffentlicht in: | General thoracic and cardiovascular surgery 2016-02, Vol.64 (2), p.105-108 |
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creator | Hisatomi, Kazuki Hashizume, Koji Tanigawa, Kazuyoshi Miura, Takashi Matsukuma, Seiji Yokose, Shogo Sumi, Mizuki Eishi, Kiyoyuki |
description | Accessory mitral valve (AMV) tissue is a congenital anomaly that occurs in association with other congenital anomalies, and is an uncommon cause of left ventricular outflow tract obstruction. It is usually detected in early childhood when accompanied by symptoms of obstruction of the left ventricular outflow tract, and is rarely diagnosed in adults. We present a case of a 53-year-old man who was referred to our institution for evaluation of a systolic heart murmur. Echocardiography disclosed a diagnosis of AMV tissue. This case was uncommon because of the lack of severe obstruction of left ventricular outflow, cardiac symptoms, or other cardiac anomalies. We were able to carry out surgical resection of AMV tissue to avert possible progression of aortic insufficiency and the risk of a cerebrovascular embolization. The patient’s postoperative course was uneventful, and postoperative echocardiography showed no residual accessory mitral tissue. |
doi_str_mv | 10.1007/s11748-014-0399-5 |
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It is usually detected in early childhood when accompanied by symptoms of obstruction of the left ventricular outflow tract, and is rarely diagnosed in adults. We present a case of a 53-year-old man who was referred to our institution for evaluation of a systolic heart murmur. Echocardiography disclosed a diagnosis of AMV tissue. This case was uncommon because of the lack of severe obstruction of left ventricular outflow, cardiac symptoms, or other cardiac anomalies. We were able to carry out surgical resection of AMV tissue to avert possible progression of aortic insufficiency and the risk of a cerebrovascular embolization. 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It is usually detected in early childhood when accompanied by symptoms of obstruction of the left ventricular outflow tract, and is rarely diagnosed in adults. We present a case of a 53-year-old man who was referred to our institution for evaluation of a systolic heart murmur. Echocardiography disclosed a diagnosis of AMV tissue. This case was uncommon because of the lack of severe obstruction of left ventricular outflow, cardiac symptoms, or other cardiac anomalies. We were able to carry out surgical resection of AMV tissue to avert possible progression of aortic insufficiency and the risk of a cerebrovascular embolization. The patient’s postoperative course was uneventful, and postoperative echocardiography showed no residual accessory mitral tissue.</description><subject>Abnormalities, Multiple</subject><subject>Asymptomatic</subject><subject>Cardiac Surgery</subject><subject>Cardiac Surgical Procedures - methods</subject><subject>Cardiology</subject><subject>Cardiovascular disease</subject><subject>Case Report</subject><subject>Coronary vessels</subject><subject>Disease Progression</subject><subject>Echocardiography</subject><subject>Embolization</subject><subject>Embolization, Therapeutic</subject><subject>Heart</subject><subject>Heart Valve Prosthesis</subject><subject>Heart Ventricles - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Mitral Valve - abnormalities</subject><subject>Mitral Valve - surgery</subject><subject>Mitral Valve Insufficiency - congenital</subject><subject>Mitral Valve Insufficiency - diagnosis</subject><subject>Mitral Valve Insufficiency - surgery</subject><subject>Pacemakers</subject><subject>Patients</subject><subject>Postoperative Period</subject><subject>Surgical Oncology</subject><subject>Thoracic Surgery</subject><subject>Tomography, X-Ray Computed</subject><subject>Ventricular Outflow Obstruction - congenital</subject><subject>Ventricular Outflow Obstruction - diagnosis</subject><subject>Ventricular Outflow Obstruction - surgery</subject><issn>1863-6705</issn><issn>1863-6713</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kE1LAzEQhoMotlZ_gBdZ8OJlNZPvPZbiFxS86Dmk2axs2Y-aZAv996ZsrSB4moF55p3hQega8D1gLB8CgGQqx8ByTIsi5ydoCkrQXEigp8ce8wm6CGGNMRcK-DmaECYZFrSYosU87NpN7FsTa5uZrszq0DcmujIz1roQer_L2jp602Rb02xdFusQBpfVXaIzUw5NvERnlWmCuzrUGfp4enxfvOTLt-fXxXyZWyZEzEUFDBO8KhjngpdWKgWkJFKVxBnrAJijHFemogmTHBtV4MIooMwwKgWjM3Q35m58_zW4EHVbB-uaxnSuH4IGKYAJSaFI6O0fdN0PvkvfaVKAklSRFDxDMFLW9yF4V-mNr1vjdxqw3hvWo2GdDOu9Yc3Tzs0heVi1rjxu_ChNABmBkEbdp_O_p_9P_QatbYPb</recordid><startdate>20160201</startdate><enddate>20160201</enddate><creator>Hisatomi, Kazuki</creator><creator>Hashizume, Koji</creator><creator>Tanigawa, Kazuyoshi</creator><creator>Miura, Takashi</creator><creator>Matsukuma, Seiji</creator><creator>Yokose, Shogo</creator><creator>Sumi, Mizuki</creator><creator>Eishi, Kiyoyuki</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20160201</creationdate><title>Asymptomatic and isolated accessory mitral valve tissue in an adult</title><author>Hisatomi, Kazuki ; Hashizume, Koji ; Tanigawa, Kazuyoshi ; Miura, Takashi ; Matsukuma, Seiji ; Yokose, Shogo ; Sumi, Mizuki ; Eishi, Kiyoyuki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c466t-6f14020b945565dc78812d278d2eace114e350faf3402750a8909a8134a437643</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Abnormalities, Multiple</topic><topic>Asymptomatic</topic><topic>Cardiac Surgery</topic><topic>Cardiac Surgical Procedures - methods</topic><topic>Cardiology</topic><topic>Cardiovascular disease</topic><topic>Case Report</topic><topic>Coronary vessels</topic><topic>Disease Progression</topic><topic>Echocardiography</topic><topic>Embolization</topic><topic>Embolization, Therapeutic</topic><topic>Heart</topic><topic>Heart Valve Prosthesis</topic><topic>Heart Ventricles - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Mitral Valve - abnormalities</topic><topic>Mitral Valve - surgery</topic><topic>Mitral Valve Insufficiency - congenital</topic><topic>Mitral Valve Insufficiency - diagnosis</topic><topic>Mitral Valve Insufficiency - surgery</topic><topic>Pacemakers</topic><topic>Patients</topic><topic>Postoperative Period</topic><topic>Surgical Oncology</topic><topic>Thoracic Surgery</topic><topic>Tomography, X-Ray Computed</topic><topic>Ventricular Outflow Obstruction - congenital</topic><topic>Ventricular Outflow Obstruction - diagnosis</topic><topic>Ventricular Outflow Obstruction - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hisatomi, Kazuki</creatorcontrib><creatorcontrib>Hashizume, Koji</creatorcontrib><creatorcontrib>Tanigawa, Kazuyoshi</creatorcontrib><creatorcontrib>Miura, Takashi</creatorcontrib><creatorcontrib>Matsukuma, Seiji</creatorcontrib><creatorcontrib>Yokose, Shogo</creatorcontrib><creatorcontrib>Sumi, Mizuki</creatorcontrib><creatorcontrib>Eishi, Kiyoyuki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>General thoracic and cardiovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hisatomi, Kazuki</au><au>Hashizume, Koji</au><au>Tanigawa, Kazuyoshi</au><au>Miura, Takashi</au><au>Matsukuma, Seiji</au><au>Yokose, Shogo</au><au>Sumi, Mizuki</au><au>Eishi, Kiyoyuki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Asymptomatic and isolated accessory mitral valve tissue in an adult</atitle><jtitle>General thoracic and cardiovascular surgery</jtitle><stitle>Gen Thorac Cardiovasc Surg</stitle><addtitle>Gen Thorac Cardiovasc Surg</addtitle><date>2016-02-01</date><risdate>2016</risdate><volume>64</volume><issue>2</issue><spage>105</spage><epage>108</epage><pages>105-108</pages><issn>1863-6705</issn><eissn>1863-6713</eissn><abstract>Accessory mitral valve (AMV) tissue is a congenital anomaly that occurs in association with other congenital anomalies, and is an uncommon cause of left ventricular outflow tract obstruction. It is usually detected in early childhood when accompanied by symptoms of obstruction of the left ventricular outflow tract, and is rarely diagnosed in adults. We present a case of a 53-year-old man who was referred to our institution for evaluation of a systolic heart murmur. Echocardiography disclosed a diagnosis of AMV tissue. This case was uncommon because of the lack of severe obstruction of left ventricular outflow, cardiac symptoms, or other cardiac anomalies. We were able to carry out surgical resection of AMV tissue to avert possible progression of aortic insufficiency and the risk of a cerebrovascular embolization. The patient’s postoperative course was uneventful, and postoperative echocardiography showed no residual accessory mitral tissue.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>24740639</pmid><doi>10.1007/s11748-014-0399-5</doi><tpages>4</tpages></addata></record> |
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subjects | Abnormalities, Multiple Asymptomatic Cardiac Surgery Cardiac Surgical Procedures - methods Cardiology Cardiovascular disease Case Report Coronary vessels Disease Progression Echocardiography Embolization Embolization, Therapeutic Heart Heart Valve Prosthesis Heart Ventricles - surgery Humans Male Medicine Medicine & Public Health Middle Aged Mitral Valve - abnormalities Mitral Valve - surgery Mitral Valve Insufficiency - congenital Mitral Valve Insufficiency - diagnosis Mitral Valve Insufficiency - surgery Pacemakers Patients Postoperative Period Surgical Oncology Thoracic Surgery Tomography, X-Ray Computed Ventricular Outflow Obstruction - congenital Ventricular Outflow Obstruction - diagnosis Ventricular Outflow Obstruction - surgery |
title | Asymptomatic and isolated accessory mitral valve tissue in an adult |
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