Monday, March 20, 2023

Mitral leaflet thickened in elderly male

This anterior mitral valve leaflet definitely appears thickened. 
Incidental finding on routine echo study:
An incidental finding of thickened anterior mitral valve leaflet is not an uncommon finding and is usually seen incidentally. It is of little clinical significance if it is not associated with more than mild regurgitation or "leakage" of the mitral valve, restriction in opening of the valve or mitral stenosis or other structural heart disease.

Conclusion:
In the case above: the color Doppler echo shows normal flow across the mitral valve. 
Hence, this finding of mildly thickened anterior mitral valve leaflet may not be significant. 

View the full echo video here:

References:
(2) Rare aneurysm of anterior mitral valve leaflet-a case report. https://pubmed.ncbi.nlm.nih.gov/31775814/ 
(3) Rare aneurysm of anterior mitral valve leaflet-a case report. https://pubmed.ncbi.nlm.nih.gov/31775814/ 
(4) An incidental finding of mitral valve network - PubMed. https://pubmed.ncbi.nlm.nih.gov/20849475/ 
(5) The Mitral Valve in Hypertrophic Cardiomyopathy | Circulation. https://www.ahajournals.org/doi/full/10.1161/circulationaha.111.035568 
(6) Mitral valve disease - Symptoms and causes - Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/mitral-valve-disease/symptoms-causes/syc-20355107 
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