Echocardiographic follow-up in marfan's syndrome: Mitral, tricuspid, and aortic valve prolapse with calcification of patent foramen ovale
✍ Scribed by J. P. Petitalot; A. F. Chaix; R. Barraine
- Publisher
- John Wiley and Sons
- Year
- 1986
- Tongue
- English
- Weight
- 480 KB
- Volume
- 14
- Category
- Article
- ISSN
- 0091-2751
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✦ Synopsis
Previous reports have demonstrated the ability of M-mode and two-dimensional (2D) echocardiography to detect valvular prolapse'-s and right-toleft interatrial shunts using peripherally injected contrast material.6 The cardiovascular manifestations of Marfan's syndrome have also been studied by many investigators using auscultatory, autopsy, and angiographic or surgical findings7** and recently echocardi~graphy.~-'~ However, echocardiographic findings of triple valve prolapse, which is rare in Marfan's syndrome, with calcification of an incompetent foramen ovale, the most frequent interatrial communication in necropsy descriptions of Marfan's ~yndrome,~." have not been reported.
CASE REPORT
A 35-year-old white married woman with known Marfan's syndrome was admitted to the Section of Cardiology for recurrent attacks of congestive heart failure. She had a history of cardiac murmur since she was 7 years of age and a familial incidence of Marfan's syndrome: her mother and her daughter had the typical appearance of Marfan's syndrome without any cardiac abnormalities. For several years, the patient had been progressively restricted in physical activity by fatigue and dyspnea; for 1 year, successive attacks of heart failure required treatment with digitalodiuretics. On examination, she presented the typical features of Marfan's syndrome. Severe cardiac failure was ob-From the