Bileaflet Tethering With Preserved LV Geometry and Function

Dario Donia, MD; Kamil Stankowski, MD; Stefano Figliozzi, MD; Carlo Andrea Pivato, MD; Damiano Regazzoli, MD; Antonio Mangieri, MD; Bernhard Reimers, MD; Renato Maria Bragato, MD; Giulio Stefanini, MD, PhD; Francesco Cannata, MD, PhD

JACC: Case Reports (Feb 2024)

Bileaflet Tethering With Preserved LV Geometry and Function

Dario Donia, MD,
Kamil Stankowski, MD,
Stefano Figliozzi, MD,
Carlo Andrea Pivato, MD,
Damiano Regazzoli, MD,
Antonio Mangieri, MD,
Bernhard Reimers, MD,
Renato Maria Bragato, MD,
Giulio Stefanini, MD, PhD,
Francesco Cannata, MD, PhD

Affiliations

Dario Donia, MD: Department of Biomedical Sciences, Humanitas University, Milan, Italy; IRCCS Humanitas Research Hospital, Milan, Italy
Kamil Stankowski, MD: Department of Biomedical Sciences, Humanitas University, Milan, Italy; IRCCS Humanitas Research Hospital, Milan, Italy
Stefano Figliozzi, MD: IRCCS Humanitas Research Hospital, Milan, Italy
Carlo Andrea Pivato, MD: Department of Biomedical Sciences, Humanitas University, Milan, Italy; IRCCS Humanitas Research Hospital, Milan, Italy
Damiano Regazzoli, MD: IRCCS Humanitas Research Hospital, Milan, Italy
Antonio Mangieri, MD: IRCCS Humanitas Research Hospital, Milan, Italy
Bernhard Reimers, MD: IRCCS Humanitas Research Hospital, Milan, Italy
Renato Maria Bragato, MD: IRCCS Humanitas Research Hospital, Milan, Italy
Giulio Stefanini, MD, PhD: Department of Biomedical Sciences, Humanitas University, Milan, Italy; IRCCS Humanitas Research Hospital, Milan, Italy
Francesco Cannata, MD, PhD: IRCCS Humanitas Research Hospital, Milan, Italy; Department of Perioperative Cardiology and Cardiovascular Imaging, Centro Cardiologico Monzino IRCCS, Milan, Italy; Address for correspondence: Dr Francesco Cannata, Department of Perioperative Cardiology and Cardiovascular imaging, Centro Cardiologico Monzino IRCCS, Milan, Italy.

Journal volume & issue: Vol. 29, no. 3
p. 102191

Abstract

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An 81-year-old woman presented with acute pulmonary edema. Echocardiography revealed severe functional mitral regurgitation, the mechanism of which was unusual. An atypical bileaflet tethering caused by disharmonic annular remodeling, concomitant aortic dilatation, and reduced aorto-mitral angle without left ventricular dysfunction or dilatation was found. A transcatheter edge-to-edge repair was nonetheless successfully performed.

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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