Mitral valve prolapse complicated by acute cerebral embolism, arrhythmias and painless myocardial infarction : a case presentation and overview

dc.contributor.authorPrzybojewski, J. Z.en_ZA
dc.contributor.authorTredoux, J. G.en_ZA
dc.contributor.authorVan der Walt, J. J.en_ZA
dc.contributor.authorTiedt, F. A. C.en_ZA
dc.date.accessioned2011-03-18T14:57:40Z
dc.date.available2011-03-18T14:57:40Z
dc.date.issued1984
dc.descriptionCITATION: Przybojewski, J. Z. et al. 1984. Mitral valve prolapse complicated by acute cerebral embolism, arrhythmias and painless myocardial infarction : a case presentation and overview. South African Medical Journal, 65:390-396.
dc.descriptionThe original publication is available at http://www.samj.org.za
dc.description.abstractA case of 'primary' mitral valve prolapse is documented. The patient was admitted with right-sided hemiplegia of sudden onset, probably caused by a cerebral embolus from the mitral valve. He also had a painless transmural inferior myocardial infarction (MI) of indeterminate age which was diagnosed electro cardiographically and on left ventricular cine angiography. Since selective coronary arteriography delineated the absence of fixed obstructive atherosclerotic disease, and since coronary vasospasm could not be provoked with the ergonovine (ergometrine) maleate test, it is further postulated that a coronary embolus from the abnormal mitral valve apparatus was responsible for the painless MI. A percutaneous right ventricular endomyocardial biopsy specimen displayed findings not indicative of a 'cardiomyopathy'.
dc.description.versionPublisher’s version
dc.format.extent7 pages
dc.identifier.issn2078-5135 (online)
dc.identifier.issn0256-9574 (print)
dc.identifier.urihttp://hdl.handle.net/10019.1/7570
dc.language.isoen
dc.publisherHealth & Medical Publishing Group
dc.rights.holderSouth African Medical Journal
dc.subjectMitral valveen_ZA
dc.titleMitral valve prolapse complicated by acute cerebral embolism, arrhythmias and painless myocardial infarction : a case presentation and overviewen_ZA
dc.typeArticle
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