Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/57447
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dc.creatorJosé Luiz B. Penapt_BR
dc.creatorTarciso O. Bomfimpt_BR
dc.creatorPaulo R. L. Fortespt_BR
dc.creatorCharles Simão Filhopt_BR
dc.creatorJosé de Souza Andrade-filhopt_BR
dc.date.accessioned2023-08-03T22:53:37Z-
dc.date.available2023-08-03T22:53:37Z-
dc.date.issued2017-
dc.citation.volume34pt_BR
dc.citation.issue7pt_BR
dc.citation.spage986pt_BR
dc.citation.epage991pt_BR
dc.identifier.doihttps://doi.org/10.1111/echo.13556pt_BR
dc.identifier.issn0742-2822pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/57447-
dc.description.resumoAims: Mitral valve aneurysms (MVA) are most frequently associated with endocarditis.Echocardiography is the method of choice for diagnosis, and color flow imaging is an important, easy method to detect MVA ruptures. We aimed to study the clinical and echocardiographic findings and their relation to the mechanism of aneurysm formation.Methods and Results: We reviewed clinical and echocardiographic records of 18 patients during a 17- year period, corresponding to 0.02% of the total studies performed at our institution. All patients underwent transthoracic echocardiogram (TTE), and all except two underwent transesophageal echocardiogram (TEE). The aneurysm was located either on the anterior leaflet (16 cases) or on the posterior leaflet (two cases). In seven cases, the probable aneurysm formation mechanism was an aortic regurgitant jet striking the anterior mitral leaflet. Perforation was present in 17 (94.4%) patients, and 10 (55.5%) cases presented more than one aneurysm. No patients underwent surgery exclusively because of the echocardiography finding.Conclusion: Different etiologies and formation mechanisms can occur in MVA. Echocardiography plays a fundamental role, providing meticulous examination of the mitral valve anatomy and flow. Unlike standard recommendations, clinical management is possible, and diagnosis does not imply immediate surgical correction.pt_BR
dc.format.mimetypepdfpt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentMED - DEPARTAMENTO DE CIRURGIApt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofEchocardiography-
dc.rightsAcesso Restritopt_BR
dc.subjectCardiac surgerypt_BR
dc.subjectEchocardiographypt_BR
dc.subjectinfective endocarditispt_BR
dc.subjectMitral valve aneurysmpt_BR
dc.subject.otherCirurgia cardíacapt_BR
dc.subject.otherEcocardiografiapt_BR
dc.subject.otherEndocarditept_BR
dc.titleMitral valve aneurysms: clinical characteristics, echocardiographic abnormalities, and possible mechanisms of formationpt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://onlinelibrary.wiley.com/doi/10.1111/echo.13556pt_BR
dc.identifier.orcid0000-0003-4119-8925pt_BR
Appears in Collections:Artigo de Periódico

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