García HRA, Muñoz MA, Tirado CY, Soto DDA

Language: Spanish
References: 6
Page: 344-348
PDF size: 112.98 Kb.

ABSTRACT

Mitral failure is a common disease that generally affects 2 % of the population. The valvular prolapse is the most frequent finding due to elongation or rupture of tendinous cords that brings about different levels of regurgitation during the ventricular contraction. Despite the above-mentioned, the clinical evaluation of asymptomatic severe mitral failure patients remains controversial and is very much debated among outstanding experts. A case of asymptomatic severe mitral failure caused by rupture of the tendinous cord was presented. The mitral valve was replaced because the valvular and subvalvular systems were much deteriorated. The follow-up of the patient showed good results.

REFERENCES

1. Kang DH, Kim JH, Rim JH. Comparison of early surgery versus conventional treatment in asymptomatic severe mitral regurgitation. Circulation. 2009;119(6):797-804.

2. Rosenhek R, Rader F, Klaar U. Outcome of watchful waiting in asymptomatic severe mitral regurgitation. Circulation. 2006;113(18):2238-44.

3. Enriquez-Sarano M, Avierinos JF, Messika-Zeitoun D. Quantitative determinants of the outcome of asymptomatic mitral regurgitation. N Engl J Med. 2005;352(9):875-83.

4. Tribouilloy C, Grigioni F, Avierinos JF. Survival implication of left ventricular end-systolic Diameter in mitral regurgitation due to flail leaflets a long-term follow-up multicenter study. J Am Coll Cardiol. 2009;54(21):1961-8.

5. Suri RM, Schaff HV, Dearani JA. Recovery of left ventricular function after surgical correction of mitral regurgitation caused by leaflet prolapse. J Thorac Cardiovasc Surg. May 2009;137(5):1071-6.

6. Gillinov AM, Mihaljevic T, Blackstone EH. Should patients with severe degenerative mitral regurgitation delay surgery until symptoms develop? Ann Thorac Surg. 2010;90(2):481-8.