Acute Multiple Cerebral Infarction in a Patient with an Accessory Mitral Valve

被引:11
作者
Misumi, Ikuo [1 ]
Nagao, Asako [2 ]
Iwamoto, Katsuya [3 ]
Honda, Tsuyoshi [1 ]
Ishii, Masanobu [1 ]
Ueyama, Hidetsugu [2 ]
Maeda, Yasushi [2 ]
Ishizaki, Masatoshi [2 ]
Kurisaki, Ryoichi [2 ]
Okazaki, Toshio [2 ]
Yamashita, Tetsuji [2 ]
Fujimoto, Akiko [2 ]
Honda, Yumi [2 ]
机构
[1] Kumamoto Saisyunsou Hosp, Dept Cardiol, Koshi, Kumamoto, Japan
[2] Kumamoto Saisyunsou Hosp, Dept Neurol, Koshi, Kumamoto, Japan
[3] Kumamoto Saisyunsou Hosp, Dept Orthoped, Koshi, Kumamoto, Japan
关键词
accessory mitral valve; left ventricular outflow obstruction; cerebral infarction; ADULT;
D O I
10.2169/internalmedicine.56.7649
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 96-year-old woman developed hemiparesis 2 weeks after orthopedic surgery. Magnetic resonance imaging revealed multiple cerebral infarctions in the bilateral hemisphere. Transthoracic echocardiography revealed a mobile structure attached to the anterior mitral leaflet that protruded toward the left ventricular outflow tract. The structure was identified as an accessory mitral valve. Doppler echocardiography showed that there was no significant left ventricular outflow obstruction. This is a rare case of a silent accessory mitral valve that was detected after multiple cerebral infarctions.
引用
收藏
页码:153 / 155
页数:3
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