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Image in Cardiology
Acquired mitral valve aneurysm due to severe aortic regurgitation
Aneurisma na válvula mitral devido a regurgitação aórtica grave
Rezvaniyeh Salehia, Leili Pourafkaria,b,
Corresponding author
leili.p@gmail.com

Corresponding author.
, Nader Djalal Naderb
a Cardiovascular Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
b University at Buffalo, Buffalo, NY, United States
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 52-year-old man presented to our emergency department with shortness of breath&#46; He reported exertional dyspnea for the past five years which had worsened recently&#46; He reported no weight loss&#44; fever or poor appetite&#46; His past medical history was noncontributory&#46; The physical exam revealed a diastolic murmur best heard in the aortic area&#46; Echocardiography showed a mildly enlarged left ventricle with normal contraction&#46; Severe aortic regurgitation &#40;AR&#41; and holodiastolic flow reversal in the abdominal aorta were present &#40;<a class="elsevierStyleCrossRefs" href="#fig0005">Figures 1&#8211;4</a>&#41;&#46; No vegetation was seen on the aortic valve&#46; There was an aneurysmal sac on the anterior leaflet of the mitral valve&#44; corresponding to the site of the high velocity AR jet &#40;<a class="elsevierStyleCrossRef" href="#sec0010">video 1 and video 2 in the Supplementary material</a>&#41;&#46; Laboratory tests including complete blood cell count&#44; liver and kidney function tests&#44; erythrocyte sedimentation rate and C-reactive protein were normal&#46; The patient refused surgical intervention and was lost to follow-up&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><elsevierMultimedia ident="fig0020"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Acquired mitral valve aneurysm is a rare entity which has generally been reported in the context of endocarditis&#46; Aneurysm of the anterior mitral valve leaflet due to the regurgitant flow of AR is a plausible mechanism in the absence of evidence for endocarditis&#46;</p><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethical disclosures</span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Protection of human and animal subjects</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this study&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Confidentiality of data</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors declare that they have followed the protocols of their work center on the publication of patient data&#46;</p></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Right to privacy and informed consent</span><p id="par0040" class="elsevierStylePara elsevierViewall">The authors have obtained the written informed consent of the patients or subjects mentioned in the article&#46; The corresponding author is in possession of this document&#46;</p></span></span><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conflicts of interest</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
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Article information
ISSN: 21742049
Original language: English
DOI:10.1016/j.repce.2015.10.022
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