Key result
Acute ischemic mitral regurgitation due to ruptured anterior chordae was diagnosed and managed in a 78-year-old woman with a concurrent patent foramen ovale.
This case report and review highlights the diagnostic and management considerations for acute ischemic mitral regurgitation complicated by a patent foramen ovale following acute myocardial infarction.
Urgent echo is key for acute ischemic MR from chordal rupture; case extends PFO association data but leaves optimal management open.
We discuss the diagnosis and the management of a 78 year old woman who devoloped acute ischemic mitral regurgitation as a result of ruptured anterior chordal structures of the mitral valve. The patient in addition had a patent formen ovale.
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Kanjwal et al. (2010) studied this question. Acute ischemic mitral regurgitation due to ruptured anterior chordae was diagnosed and managed in a 78-year-old woman with a concurrent patent foramen ovale.
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