TY - JOUR
T1 - Diastolic mitral regurgitation in a patient with complex native mitral and aortic valve endocarditis
T2 - A rare phenomenon with potential catastrophic consequences
AU - Pulido, Juan N.
AU - Lynch, James J.
AU - Mauermann, William J.
AU - Michelena, Hector I.
AU - Rehfeldt, Kent H.
N1 - Publisher Copyright:
© SAGE Publications.
PY - 2016/3/1
Y1 - 2016/3/1
N2 - Diastolic mitral valve regurgitation is a rare phenomenon described in patients with atrioventricular conduction abnormalities, severe left ventricular systolic or diastolic dysfunction with regional wall motion dyssynchrony, or severe acute aortic valve regurgitation. The presence of diastolic mitral valve regurgitation in acute aortic regurgitation due to endocarditis suggests critical severity requiring urgent surgical valve replacement. We describe a case of diastolic mitral regurgitation in the setting of complex native mitral-aortic valve endocarditis in a patient in normal sinus rhythm and review the etiologic mechanisms of this phenomenon, echocardiographic assessment, and therapeutic implications for hemodynamic management.
AB - Diastolic mitral valve regurgitation is a rare phenomenon described in patients with atrioventricular conduction abnormalities, severe left ventricular systolic or diastolic dysfunction with regional wall motion dyssynchrony, or severe acute aortic valve regurgitation. The presence of diastolic mitral valve regurgitation in acute aortic regurgitation due to endocarditis suggests critical severity requiring urgent surgical valve replacement. We describe a case of diastolic mitral regurgitation in the setting of complex native mitral-aortic valve endocarditis in a patient in normal sinus rhythm and review the etiologic mechanisms of this phenomenon, echocardiographic assessment, and therapeutic implications for hemodynamic management.
KW - intraoperative assessment
KW - intraoperative transesophageal echocardiography
KW - mitral valve
KW - monitoring
KW - transesophageal echocardiography
UR - http://www.scopus.com/inward/record.url?scp=84958191014&partnerID=8YFLogxK
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U2 - 10.1177/1089253215570063
DO - 10.1177/1089253215570063
M3 - Article
C2 - 25648613
AN - SCOPUS:84958191014
SN - 1089-2532
VL - 20
SP - 100
EP - 103
JO - Seminars in Cardiothoracic and Vascular Anesthesia
JF - Seminars in Cardiothoracic and Vascular Anesthesia
IS - 1
ER -