Degenerative mitral valve disease, type of Barlow’s disease and papillary fibroelastoma: a case report

Marija Milinkovic ,
Marija Milinkovic
Contact Marija Milinkovic

Department of Pathohistology, University Clinical Center of Serbia , Belgrade , Serbia

Vesna Bozic ,
Vesna Bozic

Department of Pathohistology, University Clinical Center of Serbia , Belgrade , Serbia

Ivana Jovanovic ,
Ivana Jovanovic

Clinic of Cardiology, Department of Clinical Echocardiography, University Clinical Center of Serbia , Belgrade , Serbia

Olga Petrovic ,
Olga Petrovic

Clinic of Cardiology, Department of Clinical Echocardiography, University Clinical Center of Serbia , Belgrade , Serbia

Duško Terzicć
Duško Terzicć

Clinic for Cardiac Surgery, University Clinical Center of Serbia , Belgrade , Serbia

Published: 01.01.2023.

Volume 38, Issue 1 (2023)

pp. 2180-2186;

Abstract

In this article, we present the case of a patient with classic signs of Barlow’s disease and discrete mass on the posterior myxomatously altered cusp that were observed on echocardiographic examination. Barlow’s disease is a degenerative disease of the mitral valve in which leaf prolapse and mitral regurgitation occur, which is a significant cause of cardiovascular mortality and morbidity. Papillary fibroelastoma of the heart is a rare benign tumor of the heart, mostly located on the valves, it is detected incidentally, but it can be the cause of transient neurological defects and ischemia of the heart due to embolization or prolapse in the coronary ostia. Differentiating degenerative mitral valve disease is important, because choice of surgical correction techniques depend on this distinction, and pathohistological analysis (classical, histochemical and immunohistochemical staining) contributes to the confirmation of the diagnosis, which is important for future outcome research.

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 

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