Congenital mitral regurgitation with Down syndrome. (February 2018)

• Record Type: Journal Article
• Authors: Tajima, Koji; Honda, Kentaro; Yuzaki, Mitsuru; Kunimoto, Hideki; Okada, Yukikatsu; Nishimura, Yoshiharu
• Is Part Of: Asian cardiovascular & thoracic annals. Volume 26:Number 2(2018)
• Page Start: 139
• Page End: 141
• Publication Date: 2018-02
• Subjects: Down syndrome -- Heart defects -- congenital -- Intellectual disability -- Mitral valve annuloplasty -- Mitral valve insufficiency -- Treatment outcome; Heart -- Diseases -- Asia -- Periodicals; Heart -- Diseases -- Pacific Area -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Surgery -- Asia -- Periodicals; Heart -- Surgery -- Pacific Area -- Periodicals; Heart -- Surgery -- Periodicals; Chest -- Surgery -- Asia -- Periodicals; Chest -- Surgery -- Pacific Area -- Periodicals; Chest -- Surgery -- Periodicals; 617.412
• DOI: 10.1177/0218492318755584
• Languages: English
• ISSNs: 0218-4923

Abstract

A 19-year-old man with Down syndrome had congenital mitral regurgitation. He had slight mental retardation and difficulty in performing independent oral drug administration. We planned mitral valve plasty to avoid postoperative anticoagulant therapy. The mitral valve lesions were complicated. A prolapsed anterior mitral leaflet, shortened posterior leaflet, abnormal cleft, abnormal papillary muscle, and enlarged annulus were observed. Successful mitral valve plasty was performed using several techniques. The postoperative course was uneventful, and no significant mitral regurgitation was found.