Left atrial fibrous band, an unexpected mechanism of mitral regurgitation | Zendy

R. B. Irwin | Zendy; Matthias Schmitt | Zendy; Simon Ray | Zendy

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Left atrial fibrous band, an unexpected mechanism of mitral regurgitation

Author(s) -

R. B. Irwin,

Matthias Schmitt,

Simon Ray

Publication year - 2011

Publication title -

european heart journal - cardiovascular imaging

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 2.576

H-Index - 92

eISSN - 2047-2412

pISSN - 2047-2404

DOI - 10.1093/ejechocard/jer069

Subject(s) - cardiology , medicine , mitral regurgitation , functional mitral regurgitation , mechanism (biology) , heart failure , ejection fraction , physics , quantum mechanics

A 75-year-old gentleman, who had undergone CABG surgery 18 years previously, reported increasing dyspnoea. Transthoracic echocardiography revealed a posteriorly directed jet of moderate mitral regurgitation (MR), reported to be of functional origin (Carpentier classification IIIb). Transoesophageal echocardiography revealed an unexpected structure traversing the left atrium (LA), attaching to the anterior mitral leaflet ( Panel A1 ). Posterior leaflet motion was …

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