Severe mitral regurgitation: A common occurrence in the aging patient with secundum atrial septal defect

1981 ◽  
Vol 4 (5) ◽  
pp. 229-232 ◽  
Author(s):  
R. R. Liberthson ◽  
C. A. Boucher ◽  
J. T. Fallon ◽  
M. J. Buckley
Author(s):  
EL ABASSE ZEINE MD ◽  
BAH ALI RIDA MD ◽  
Taouakalna amira MD ◽  
HABBAL RACHIDA , MD ◽  
ETTAOUMI YOUSSEF MD

Background Tiger stripes sign is the high amplitude band-like signal noted on Doppler spectral recordings of valvular regurgitation. This is noted most often in patients with porcine mitral prosthetic valves and may be indicative of flail prosthetic leaflet. We herein describe a patient with tiger stripes signin a severe mitral regurgitation on native valve associated with Ostium secundum atrial septal Defect (ASD).  Case summary A 41-year-old woman hospitalized for progressively worsening exertional dyspnea NYHA (New York Heart Association) class III associated with chest pain evolving for the past 3 years. The patient’s medical history includes Grave’s disease. Clinical examination revealeda grade 5/6 blowing holosystolic murmur at the apex and a grade 4/6 blowing murmur at the tricuspid area.ECG showed trial Fibrillation. Echocardiography showed the presence of severe mitral regurgitation Figure 1: (A), severe tricuspid regurgitation and secundum atrial septal defect with 10 mm diameter. Doppler showed the appearance of tiger stripes sign in continuous-wave doppler (CW) and in pulsed-wave doppler (PW) on the mitral valve. Figure 1: (B,C).


2018 ◽  
Vol 12 (2) ◽  
pp. 91-94
Author(s):  
Md Aslam Hossain ◽  
Dharmendra Joshi ◽  
Mayank Acharya ◽  
Tareq Morshed ◽  
Omar Sadeque Khan ◽  
...  

Mitral regurgitation (MR) associated with secundum Atrial Septal Defect (ASD) is not widely recognized but the association is not unusual. MR has been found in less than 10% of adults with large ASD which is mainly caused by mitral valve prolapse (MVP). We are reporting a case of congenital ostium secundum ASD with MVP associated with MR, review the clinical relevance of this association, and discuss the related literature. Our patient has shown dramatic improvement in symptoms and signs after ASD closure with mitral valve replacement along with improvement in tricuspid regurgitation. More general awareness of this association will further help the surgeon for better management of the patient with this rather unusual combination of lesions.University Heart Journal Vol. 12, No. 2, July 2016; 91-94


1993 ◽  
Vol 69 (818) ◽  
pp. 912-915 ◽  
Author(s):  
M. E. Speechly-Dick ◽  
R. John ◽  
W. B. Pugsley ◽  
M. F. Sturridge ◽  
R. H. Swanton

1998 ◽  
Vol 46 (12) ◽  
pp. 1324-1328
Author(s):  
Reiji Hattori ◽  
Kiyoharu Nakano ◽  
Fumio Yamamoto ◽  
Yoshikado Sasako ◽  
Jyunjiro Kobayashi ◽  
...  

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