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Eur J Cardiothorac Surg 2002;21:88
© 2002 Elsevier Science NL

Images in cardio-thoracic surgery

Windsock deformity of the mitral valve — a late presentation of endocarditis

Pratap K. Paruchurua*, K. Adlurib, Ramesh L. Patelb

a Department of Cardio-Thoracic Surgery, North Staffs Hospital NHS Trust, Royal Infirmary, Stoke-on-Trent, Staffordshire ST4 7LN, UK
b Department of Cardio-Thoracic Surgery, University Hospitals Coventry and Warwickshire NHS Trust, Coventry CV2 2DX, UK

Received 20 August 2001; accepted 9 October 2001.

* Tel.: +44-1782-715444
e-mail: ppkumar{at}rcsed.ac.uk

A 22-year-old man suddenly developed pulmonary oedema. Transoesophageal echocardiogram demonstrated ‘windsock’ deformity of the anterior mitral leaflet (AML).

AML was found to be damaged by previous endocarditis resulting in thinning and ballooning of the central scallop (Fig. 1). Rupture of the roof of this portion resulted in acute severe mitral regurgitation (Fig. 2).



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  		Fig. 1. Transoesophageal echocardiogram (TOE) showing ballooning of the thin anterior mitral leaflet.

 


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  		Fig. 2. TOE showing the typical ‘windsock’ deformity of the anterior mitral leaflet.

 




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