Repair of Spontaneous Left Atrial Dissection Resulting in Severe Paravalvular Native Mitral Valve Regurgitation

Tayler B Eldridge; Jay N Shah; Justin Poltak; James B Powers; Reed D Quinn; Marco N Diaz; Michael P Robich

doi:10.1016/j.jaccas.2020.05.076

Repair of Spontaneous Left Atrial Dissection Resulting in Severe Paravalvular Native Mitral Valve Regurgitation

JACC Case Rep. 2020 Jul 15;2(8):1099-1102. doi: 10.1016/j.jaccas.2020.05.076. eCollection 2020 Jul.

Authors

Tayler B Eldridge¹, Jay N Shah², Justin Poltak^{1

3}, James B Powers², Reed D Quinn², Marco N Diaz², Michael P Robich²

Affiliations

¹ Department of Anesthesiology, Maine Medical Center, Portland, Maine.
² Cardiovascular Institute, Maine Medical Center, Portland, Maine.
³ Spectrum Healthcare Partners, PA, Portland, Maine.

Abstract

A 54-year-old male with history of end-stage renal disease secondary to hypertension on hemodialysis with moderate aortic valve insufficiency presented with progressive exertional dyspnea and lower extremity edema over several weeks. Relevant history included hospitalization for Staphylococcus epidermidis bacteremia secondary to dialysis catheter line infection 6 months prior. (Level of Difficulty: Advanced.).

Keywords: aortic valve; endocarditis; mitral valve.

Publication types

Case Reports