caa a22 4500 445825847 CHVBK 20180317145259.0 cr unu---uuuuu 170323e20110601xx s 000 0 eng 10.1007/s00246-011-9939-2 doi (NATIONALLICENCE)springer-10.1007/s00246-011-9939-2 Acute Progressive Mitral Regurgitation Resulting From Chordal Rupture in Infants [Elektronische Daten] [Hiroko Asakai, Yukihiro Kaneko, Masahide Kaneko, Yasushi Misaki, Ikuya Achiwa, Yasutaka Hirata, Hitoshi Kato] This report describes six previously healthy infants with acute mitral valve chordal rupture. Although their initial symptoms were mild respiratory distress and fever, all the infants presented with acute progressive left heart failure and required urgent surgical repair. Mitral valve annuloplasty and mitral valve replacement were performed (for three patients each). Two patients died, both of whom had cardiac arrest and required resuscitation before surgery. Histologic examination of excised mitral valve leaflets showed infiltration of gram-positive bacteria in these two patients. All the patients were 4-6months old, which may suggest underlying congenital factors. The authors believe early diagnosis and surgery are crucial as a life-saving measure for infants with acute mitral valve chordal rupture. Springer Science+Business Media, LLC, 2011 Acute mitral regurgitation nationallicence Infants nationallicence Mitral valve chordal rupture nationallicence Asakai Hiroko Division of Cardiology and Pediatric Cardiovascular Surgery, National Medical Center for Children and Mothers, 2-10-1 Okura, Setagaya-ku, 157-8535, Tokyo, Japan aut Kaneko Yukihiro Division of Cardiology and Pediatric Cardiovascular Surgery, National Medical Center for Children and Mothers, 2-10-1 Okura, Setagaya-ku, 157-8535, Tokyo, Japan aut Kaneko Masahide Division of Cardiology and Pediatric Cardiovascular Surgery, National Medical Center for Children and Mothers, 2-10-1 Okura, Setagaya-ku, 157-8535, Tokyo, Japan aut Misaki Yasushi Division of Cardiology and Pediatric Cardiovascular Surgery, National Medical Center for Children and Mothers, 2-10-1 Okura, Setagaya-ku, 157-8535, Tokyo, Japan aut Achiwa Ikuya Division of Cardiology and Pediatric Cardiovascular Surgery, National Medical Center for Children and Mothers, 2-10-1 Okura, Setagaya-ku, 157-8535, Tokyo, Japan aut Hirata Yasutaka Division of Cardiology and Pediatric Cardiovascular Surgery, National Medical Center for Children and Mothers, 2-10-1 Okura, Setagaya-ku, 157-8535, Tokyo, Japan aut Kato Hitoshi Division of Cardiology and Pediatric Cardiovascular Surgery, National Medical Center for Children and Mothers, 2-10-1 Okura, Setagaya-ku, 157-8535, Tokyo, Japan aut Pediatric Cardiology Springer-Verlag 32/5(2011-06-01), 634-638 0172-0643 32:5<634 2011 32 246 https://doi.org/10.1007/s00246-011-9939-2 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00246-011-9939-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Asakai Hiroko Division of Cardiology and Pediatric Cardiovascular Surgery, National Medical Center for Children and Mothers, 2-10-1 Okura, Setagaya-ku, 157-8535, Tokyo, Japan aut NATIONALLICENCE 700 1- Kaneko Yukihiro Division of Cardiology and Pediatric Cardiovascular Surgery, National Medical Center for Children and Mothers, 2-10-1 Okura, Setagaya-ku, 157-8535, Tokyo, Japan aut NATIONALLICENCE 700 1- Kaneko Masahide Division of Cardiology and Pediatric Cardiovascular Surgery, National Medical Center for Children and Mothers, 2-10-1 Okura, Setagaya-ku, 157-8535, Tokyo, Japan aut NATIONALLICENCE 700 1- Misaki Yasushi Division of Cardiology and Pediatric Cardiovascular Surgery, National Medical Center for Children and Mothers, 2-10-1 Okura, Setagaya-ku, 157-8535, Tokyo, Japan aut NATIONALLICENCE 700 1- Achiwa Ikuya Division of Cardiology and Pediatric Cardiovascular Surgery, National Medical Center for Children and Mothers, 2-10-1 Okura, Setagaya-ku, 157-8535, Tokyo, Japan aut NATIONALLICENCE 700 1- Hirata Yasutaka Division of Cardiology and Pediatric Cardiovascular Surgery, National Medical Center for Children and Mothers, 2-10-1 Okura, Setagaya-ku, 157-8535, Tokyo, Japan aut NATIONALLICENCE 700 1- Kato Hitoshi Division of Cardiology and Pediatric Cardiovascular Surgery, National Medical Center for Children and Mothers, 2-10-1 Okura, Setagaya-ku, 157-8535, Tokyo, Japan aut NATIONALLICENCE 773 0- Pediatric Cardiology Springer-Verlag 32/5(2011-06-01), 634-638 0172-0643 32:5<634 2011 32 246 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer