Malignant bileaflet mitral valve prolapse syndrome in otherwise idiopathic ventricular fibrillation

被引：0

作者：

Vollmann D. ^{[1
]}

Hansen C. ^{[1
]}

Lüthje L. ^{[2
]}

Breithardt O.A. ^{[3
]}

机构：

[1] Herz- & Gefäßzentrum Göttingen, Humboldtallee 6, Göttingen

[2] Klinik für Kardiologie und Pneumologie, Universitätsmedizin Göttingen, Göttingen

[3] Klinik für Kardiologie & Rhythmologie, Agaplesion Diakonie Kliniken Kassel, Kassel

来源：

Herzschrittmachertherapie + Elektrophysiologie | 2017年 / 28卷 / 2期

关键词：

Mitral valve prolapse; Negative T wave; Sudden cardiac death; Ventricular fibrillation; Ventricular premature beat;

D O I：

10.1007/s00399-017-0504-4

中图分类号：

学科分类号：

摘要：

A 32-year-old, otherwise healthy woman was admitted after successful out-of-hospital resuscitation due to ventricular fibrillation. Established cardiac, pulmonary, metabolic, and toxicological causes were excluded. However, persisting (biphasic) negative T waves in the inferior ECG leads and premature ventricular contractions (PVC) were noted. PVC morphology indicated a focus alternating between the posterior papillary muscle/the left posterior fascicle and the left ventricular outflow tract region/anterior papillary muscle. Echocardiography revealed a bileaflet mitral prolapse with mild mitral valve regurgitation. This case is a typical presentation of the recently described malignant bileaflet mitral valve prolapse syndrome. The patient was discharged without overt neurological deficit after implantation of a cardioverter–defibrillator. © 2017, Springer Medizin Verlag GmbH.

引用

页码：232 / 235

页数：3

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