An Atypical Mitral Valve Prolapse in a Patient With Behcet's Disease.
10.4070/kcj.2011.41.4.217
- Author:
Se Jung YOON
1
;
Eui Young CHOI
;
Jae Hun JUNG
;
Se Joong RIM
Author Information
1. Cardiology Division, NHIC Ilsan Hospital, Goyang, Korea.
- Publication Type:Case Report
- Keywords:
Behcet's syndrome;
Heart valve prolapse;
Mitral valve;
Inflammation
- MeSH:
Adult;
Behcet Syndrome;
Cardiomegaly;
Dyspnea;
Echocardiography;
Heart;
Heart Valve Prolapse;
Humans;
Inflammation;
Male;
Mitral Valve;
Mitral Valve Insufficiency;
Mitral Valve Prolapse;
Physical Examination;
Pneumonia;
Prednisolone;
Prolapse;
Pulmonary Edema;
Thorax;
Ulcer
- From:Korean Circulation Journal
2011;41(4):217-219
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report the case of a 42-year-old male who was admitted to the hospital with progressive dyspnea. Cardiomegaly and diffuse pulmonary edema were visible on chest X-ray and multiple oral and genital ulcers on physical examination. On admission, echocardiography revealed mitral valve prolapse (MVP) predominantly involving a basal portion of the posterior leaflet, with severe mitral regurgitation. A successful mitral valve replacement with St. Jude #29 was performed, after pre-treatment with prednisolone for 2 weeks. Fifteen months following the operation, the patient expired from severe pulmonary edema and secondary pneumonia. This case demonstrates, for the first time in the literature, an unusual feature of mitral prolapse in the basal portion with severe mitral regurgitation in a patient with Behcet's disease. As suggested by this case, we should consider an atypical type of MVP as a possible inflammatory involvement of the heart in patients with Behcet's disease.
