A Band That Causes Leaky Valves: Severe Mitral Regurgitation due to Left Atrial Fibrous Band—A Case Report and Literature Review

Left atrial fibrous band is a rare clinical and echocardiographic finding characterized by the presence of a fibrous band attached to the mitral valve. Diagnosis is accomplished with transesophageal echocardiography (TEE), live 3D imaging, or cardiac MRI. Most patients are asymptomatic and incidenta...

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Main Authors: Christopher Nnaoma, Gurdarshan Sandhu, Christoph Sossou, Ilan Vavilin, Jose Bustillo, Anshu Garg
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2019/2458569
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author Christopher Nnaoma
Gurdarshan Sandhu
Christoph Sossou
Ilan Vavilin
Jose Bustillo
Anshu Garg
author_facet Christopher Nnaoma
Gurdarshan Sandhu
Christoph Sossou
Ilan Vavilin
Jose Bustillo
Anshu Garg
author_sort Christopher Nnaoma
collection DOAJ
description Left atrial fibrous band is a rare clinical and echocardiographic finding characterized by the presence of a fibrous band attached to the mitral valve. Diagnosis is accomplished with transesophageal echocardiography (TEE), live 3D imaging, or cardiac MRI. Most patients are asymptomatic and incidental findings. However, in rare cases, an atrial fibrous band can produce symptoms such as dyspnea on exertion, fatigue, and lightheadedness secondary to mitral regurgitation (MR) which can lead to heart failure if unattended to. More serious complications such as cardioembolic phenomenon can occur. We herein report a case of a 55-year-old male with hypertension who presented with dyspnea on exertion and chest pain. Transthoracic echocardiography (TTE) showed mitral valve prolapse with moderate to severe mitral regurgitation. TEE showed an atrial fibrous band. Given the patient’s poor exercise tolerance, he was taken to surgery for a mitral annuloplasty.
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issn 2090-6404
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language English
publishDate 2019-01-01
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series Case Reports in Cardiology
spelling doaj-art-175bbacc10c04489b7d8c78f3d5101a22025-08-20T03:54:33ZengWileyCase Reports in Cardiology2090-64042090-64122019-01-01201910.1155/2019/24585692458569A Band That Causes Leaky Valves: Severe Mitral Regurgitation due to Left Atrial Fibrous Band—A Case Report and Literature ReviewChristopher Nnaoma0Gurdarshan Sandhu1Christoph Sossou2Ilan Vavilin3Jose Bustillo4Anshu Garg5Newark Beth Israel Medical Center, Newark, NJ, USANewark Beth Israel Medical Center, Newark, NJ, USANewark Beth Israel Medical Center, Newark, NJ, USASt. George’s University, GrenadaNewark Beth Israel Medical Center, Newark, NJ, USANewark Beth Israel Medical Center, Newark, NJ, USALeft atrial fibrous band is a rare clinical and echocardiographic finding characterized by the presence of a fibrous band attached to the mitral valve. Diagnosis is accomplished with transesophageal echocardiography (TEE), live 3D imaging, or cardiac MRI. Most patients are asymptomatic and incidental findings. However, in rare cases, an atrial fibrous band can produce symptoms such as dyspnea on exertion, fatigue, and lightheadedness secondary to mitral regurgitation (MR) which can lead to heart failure if unattended to. More serious complications such as cardioembolic phenomenon can occur. We herein report a case of a 55-year-old male with hypertension who presented with dyspnea on exertion and chest pain. Transthoracic echocardiography (TTE) showed mitral valve prolapse with moderate to severe mitral regurgitation. TEE showed an atrial fibrous band. Given the patient’s poor exercise tolerance, he was taken to surgery for a mitral annuloplasty.http://dx.doi.org/10.1155/2019/2458569
spellingShingle Christopher Nnaoma
Gurdarshan Sandhu
Christoph Sossou
Ilan Vavilin
Jose Bustillo
Anshu Garg
A Band That Causes Leaky Valves: Severe Mitral Regurgitation due to Left Atrial Fibrous Band—A Case Report and Literature Review
Case Reports in Cardiology
title A Band That Causes Leaky Valves: Severe Mitral Regurgitation due to Left Atrial Fibrous Band—A Case Report and Literature Review
title_full A Band That Causes Leaky Valves: Severe Mitral Regurgitation due to Left Atrial Fibrous Band—A Case Report and Literature Review
title_fullStr A Band That Causes Leaky Valves: Severe Mitral Regurgitation due to Left Atrial Fibrous Band—A Case Report and Literature Review
title_full_unstemmed A Band That Causes Leaky Valves: Severe Mitral Regurgitation due to Left Atrial Fibrous Band—A Case Report and Literature Review
title_short A Band That Causes Leaky Valves: Severe Mitral Regurgitation due to Left Atrial Fibrous Band—A Case Report and Literature Review
title_sort band that causes leaky valves severe mitral regurgitation due to left atrial fibrous band a case report and literature review
url http://dx.doi.org/10.1155/2019/2458569
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