Skip to main content
Top
Published in: Pediatric Cardiology 1/2012

01-01-2012 | Case Report

Mitral Regurgitation due to Chordae Tendineae Rupture in an Infant with Aortic Coarctation

Authors: Myung-Mi Kim, Jeong Jin Yu, Tae-Jin Yun, Young-Hwue Kim

Published in: Pediatric Cardiology | Issue 1/2012

Login to get access

Abstract

A 2-month-old male suddenly developed mitral regurgitation aggravation while waiting for surgical repair of aortic coarctation. There were no signs of infection or history of trauma. Emergency surgery was performed, during which rupture of chordae tendineae of the A2 portion of the anterior mitral leaflet was confirmed. At last follow-up, 11 months postsurgery, the patient was in an acceptable state, with continuing moderate mitral valve regurgitation. This case demonstrates an unusual but dangerous natural course of aortic coarctation and suggests an additional basis of urgent repair of aortic coarctation.
Literature
1.
go back to reference Becker AE, Becker MJ, Edwards JE (1970) Anomalies associated with coarctation of aorta. Particular reference to infancy. Circulation 41:1067–1073PubMed Becker AE, Becker MJ, Edwards JE (1970) Anomalies associated with coarctation of aorta. Particular reference to infancy. Circulation 41:1067–1073PubMed
2.
go back to reference Brauner RA, Laks H, Drinkwater DC Jr, Scholl F, McCaffery S (1997) Multiple left heart obstructions (Shone’s anomaly) with mitral valve involvement: long-term surgical outcome. Ann Thorac Surg 64:721–729PubMedCrossRef Brauner RA, Laks H, Drinkwater DC Jr, Scholl F, McCaffery S (1997) Multiple left heart obstructions (Shone’s anomaly) with mitral valve involvement: long-term surgical outcome. Ann Thorac Surg 64:721–729PubMedCrossRef
3.
go back to reference Celano V, Pieroni DR, Morera JA, Roland JMA, Gingell RL (1984) Two-dimensional echocardiographic examination of mitral valve abnormalities associated with coarctation of the aorta. Circulation 69:924–932PubMedCrossRef Celano V, Pieroni DR, Morera JA, Roland JMA, Gingell RL (1984) Two-dimensional echocardiographic examination of mitral valve abnormalities associated with coarctation of the aorta. Circulation 69:924–932PubMedCrossRef
4.
go back to reference Freed MD, Keane JF, Van Praagh R, Castaneda AR, Bernhard WF, Nadas AS (1974) Coarctation of the aorta with congenital mitral regurgitation. Circulation 49:1175–1184PubMed Freed MD, Keane JF, Van Praagh R, Castaneda AR, Bernhard WF, Nadas AS (1974) Coarctation of the aorta with congenital mitral regurgitation. Circulation 49:1175–1184PubMed
5.
go back to reference Gong QH, Yang YF, Zhao TL, Yang JF, Wu ZS, Chen JL, Yin N (2008) One-stage correction of aortic coarctation and severe mitral regurgitation via left posterolateral thoracotomy in a 2-year-old child. J Card Surg 23:346–348PubMedCrossRef Gong QH, Yang YF, Zhao TL, Yang JF, Wu ZS, Chen JL, Yin N (2008) One-stage correction of aortic coarctation and severe mitral regurgitation via left posterolateral thoracotomy in a 2-year-old child. J Card Surg 23:346–348PubMedCrossRef
6.
go back to reference Ludman P, Yacoub M, Dancy M (1990) Mitral valve prolapse and occult aortic coarctation. Postgrad Med J 66:834–837PubMedCrossRef Ludman P, Yacoub M, Dancy M (1990) Mitral valve prolapse and occult aortic coarctation. Postgrad Med J 66:834–837PubMedCrossRef
7.
go back to reference Rosenquist GC (1974) Congenital mitral valve disease associated with coarctation of the aorta. Circulation 49:985–993PubMed Rosenquist GC (1974) Congenital mitral valve disease associated with coarctation of the aorta. Circulation 49:985–993PubMed
8.
go back to reference Ruckman RN, Van Praagh R (1978) Anatomic types of congenital mitral stenosis: report of 49 autopsy cases with consideration of diagnosis and surgical implications. Am J Cardiol 42:592–601PubMedCrossRef Ruckman RN, Van Praagh R (1978) Anatomic types of congenital mitral stenosis: report of 49 autopsy cases with consideration of diagnosis and surgical implications. Am J Cardiol 42:592–601PubMedCrossRef
9.
go back to reference Terzaki AK, Leachman RD, Ali MK, Hallman GL, Cooley DA (1972) Congenital mitral incompetence and coarctation of aorta. Thorax 27:729–737PubMedCrossRef Terzaki AK, Leachman RD, Ali MK, Hallman GL, Cooley DA (1972) Congenital mitral incompetence and coarctation of aorta. Thorax 27:729–737PubMedCrossRef
Metadata
Title
Mitral Regurgitation due to Chordae Tendineae Rupture in an Infant with Aortic Coarctation
Authors
Myung-Mi Kim
Jeong Jin Yu
Tae-Jin Yun
Young-Hwue Kim
Publication date
01-01-2012
Publisher
Springer-Verlag
Published in
Pediatric Cardiology / Issue 1/2012
Print ISSN: 0172-0643
Electronic ISSN: 1432-1971
DOI
https://doi.org/10.1007/s00246-011-0087-5

Other articles of this Issue 1/2012

Pediatric Cardiology 1/2012 Go to the issue