Systolic mitral flutter, an echocardiographic clue to the diagnosis of ruptured chordae tendineae

Infective endocarditis localized in the tricuspid valve was observed in a previously completely healthy 10‐yeardd male. The pathogen was identified as Staphylococcus uureus. Twodimensional and Doppler echocardiography revealed rupture of the chordae tendineae and prolapse of the tricuspid septal leaflet with tricuspid regurgitation. Isolated infective tricuspid valve endocarditis is mostly confined to drug addicts, and, to out knowledge, the literature contains only four cases of this disease in children without heart disease. The present case is considered to represent an extremely rare condition.

show abstract

“…There was no clinical history suggestive of increased susceptibility to infection, and laboratory tests indicated no [11][12][13].…”

Section: Discussionmentioning

confidence: 99%

Isolated Tricuspid Valve Endocarditis in a Child with a Normal Heart

Matsuoka

Yamami

Nishiguchi

et al. 1988

Pediatrics International

View full text Add to dashboard Cite

show abstract

“…Cryptococcus may be grown from urine and blood cultures in 25 to 30 % of patients with cryptococcal meningitis prior to starting amphoterici n therapy (3). Cryptococcal e ndocarditis is distinctly uncommon (23), and has not been reported to ha ve bee n seen by echocardiography.…”

Section: Discussionmentioning

confidence: 99%

Coronary ostial embolus and mitral vegetation simulating a left atrial myxoma: A case of probable cryptococcal valvulitis

Child¹,

MacAlpin²,

Moyer³

et al. 1979

Clinical Cardiology

View full text Add to dashboard Cite

A 56 year old man died with disseminated cryptococcosis after immunosuppressive therapy for a hematologic disorder of unknown etiology. The immediate cause of death was cardiogenic shock, probably resulting from a large right coronary ostial embolus and subsequent ischemic myocardial injury. The embolus originated from a bulky mitral vegetation (possibly cryptococcal) demonstrated ante mortem by echocardiography and cardiac angiography, and at autopsy. The differential diagnosis of such an echocardiographic pattern is discussed.

show abstract

“…The M-mode echocardiographic diagnosis of a flail anterior leaflet is less satisfactory although this abnormality is suggested when the anterior leaflet demonstrates chaotic diastolic fluttering with exaggerated opening (8,12).…”

Section: Discussionmentioning

confidence: 99%

The role of cross‐sectional echocardiography in the diagnosis of flail mitral leaflet

Ogawa

Mardelli

Hubbard

et al. 1978

Clinical Cardiology

View full text Add to dashboard Cite

Summary: Cross-sectional echocardiography was performed on two patients with mitral regurgitation in whom M-mode echocardiographic findings were not specific for the etiology of mitral regurgitation. In one patient, flail motion of the free edge of the anterior mitral leaflet into the left atrium was demonstrated only by cross-sectional echocardiograms. In the second patient, the flail posterior mitral leaflet was suggested to be a result of bacterial endocarditis. Cross-sectional echocardiograms clearly identified a flail motion of a mass of vegetation attached to the posterior mitral leaflet.Thus, cross-sectional echocardiography can provide critical information in recognizing patients with a flail mitral leaflet.

show abstract

Systolic mitral flutter, an echocardiographic clue to the diagnosis of ruptured chordae tendineae

Cited by 40 publications

References 9 publications

Isolated Tricuspid Valve Endocarditis in a Child with a Normal Heart

Isolated Tricuspid Valve Endocarditis in a Child with a Normal Heart

Coronary ostial embolus and mitral vegetation simulating a left atrial myxoma: A case of probable cryptococcal valvulitis

The role of cross‐sectional echocardiography in the diagnosis of flail mitral leaflet

Contact Info

Product

Resources

About