Title |
Malignes Mitralklappenprolapssyndrom bei „idiopathischem“ Kammerflimmern
|
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Published in |
Herzschrittmachertherapie + Elektrophysiologie, May 2017
|
DOI | 10.1007/s00399-017-0504-4 |
Pubmed ID | |
Authors |
Dirk Vollmann, Claudius Hansen, Lars Lüthje, Ole A. Breithardt |
Abstract |
A 32-year-old, otherwise healthy woman was admitted after successful out-of-hospital resuscitation due to ventricular fibrillation. Established cardiac, pulmonary, metabolic, and toxicological causes were excluded. However, persisting (biphasic) negative T waves in the inferior ECG leads and premature ventricular contractions (PVC) were noted. PVC morphology indicated a focus alternating between the posterior papillary muscle/the left posterior fascicle and the left ventricular outflow tract region/anterior papillary muscle. Echocardiography revealed a bileaflet mitral prolapse with mild mitral valve regurgitation. This case is a typical presentation of the recently described malignant bileaflet mitral valve prolapse syndrome. The patient was discharged without overt neurological deficit after implantation of a cardioverter-defibrillator. |
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