Highlights the potential for sudden death in patients with floppy mitral valve syndrome, suggesting the condition may not be entirely benign and warrants careful cardiac evaluation.
Floppy mitral valve may carry sudden death risk warranting vigilance; case reports leave open the need for prospective risk studies.
A 38-year-old female with a history of palpitations, premature ventricular contractions, and a systolic murmur collapsed suddenly and died. Post-mortem studies showed shortened chordae tendinae and myxomatous transformation of both mitral leaflets. As this syndrome becomes more clinically recognizable it appears that its benignancy is diminishing. Thus, it is felt that patients with findings of ventricular extrasystoles and a systolic murmur should have a careful cardiac evaluation to determine the presence of the floppy mitral valve or ballooning mitral leaflet syndrome and that appropriate measures for treatment be taken when necessary.
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Jack J. Kleid (1976) studied this question.
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