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J Thorac Cardiovasc Surg 2006;131:1400-1401
© 2006 The American Association for Thoracic Surgery

Brief Communication

Mitral valve insufficiency and left ventricular remodeling in identical twins

Anders Franco-Cereceda, MD, PhD * , Jan Liska, MD, PhD, Fredrik Bredin, MD

Department of Cardiothoracic Surgery and Anaesthesia, Karolinska University Hospital, Stockholm, Sweden.

Received for publication January 19, 2006; revisions received February 2, 2006; accepted for publication February 7, 2006.

* Address for reprints: Anders Franco-Cereceda, MD, PhD, Department of Cardiothoracic Surgery and Anaesthesia, Karolinska University Hospital, S-171 76 Stockholm, Sweden. (Email: andfra@ki.se).

The first 20% of the full text of this article appears below.

Here we present the outcome of surgical treatment of 2 identical twins with mitral valve regurgitation (MR) and left ventricular (LV) dilatation.

Clinical Summary

A 52-year-old asymptomatic man (patient 1) presented with a newly detected cardiac murmur at a routine check-up. Further evaluation revealed a large (III-IV/IV) MR and LV dilatation (LV end-diastolic diameter [LVEDD] and LV end-systolic diameter [LVESD] of 62 and 38 mm, respectively). The LV function was preserved, with en ejection fraction (EF) of 60%. During cardiopulmonary bypass, a large posterior leaflet prolapse with chordal rupture was noted. A quadrangular resection of the P2 segment was performed combined with a sliding plasty and application of a 34-mm Carpentier-Edwards anuloplasty ring. The postoperative course was uneventful, and at 12 months' follow-up, there was a trace (0-I/IV) of MR, the LVEDD was reduced to 50 mm, the LVESD was reduced to 36 mm, . . . [Full Text of this Article]






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