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- Title
Diastolic Mitral Regurgitation in a Patient With Complex Native Mitral and Aortic Valve Endocarditis: A Rare Phenomenon With Potential Catastrophic Consequences.
- Authors
Pulido, Juan N.; Lynch, James J.; Mauermann, William J.; Michelena, Hector I.; Rehfeldt, Kent H.
- Abstract
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.
- Publication
Seminars in Cardiothoracic & Vascular Anesthesia, 2016, Vol 20, Issue 1, p100
- ISSN
1089-2532
- Publication type
journal article
- DOI
10.1177/1089253215570063