Transient Severe Functional Mitral Valve Regurgitation: An Extremely Rare Cause of Recurrent Pulmonary Edema

Joseph Banno; Yasser Radwan; Rima Patel; Sanjay Dandamudi; Michael McNamara; Kevin Wolschleger

doi:10.1016/j.jaccas.2023.101884

Transient Severe Functional Mitral Valve Regurgitation: An Extremely Rare Cause of Recurrent Pulmonary Edema

JACC Case Rep. 2023 May 18:16:101884. doi: 10.1016/j.jaccas.2023.101884. eCollection 2023 Jun 21.

Authors

Joseph Banno^{1

2}, Yasser Radwan¹, Rima Patel¹, Sanjay Dandamudi^{1

2}, Michael McNamara^{1

2}, Kevin Wolschleger^{1

2}

Affiliations

¹ Corewell Health West/Fred and Lena Meijer Heart Center, Grand Rapids, Michigan, USA.
² Michigan State University, Grand Rapids, Michigan, USA.

Abstract

A 79-year-old woman presented with recurrent pulmonary edema. Extensive testing spanning 5 admissions showed only mild mitral regurgitation (MR). A transthoracic echocardiogram with the patient in the supine position and passive leg raise showed severe MR. This suggested transient severe MR. She underwent mitral valve replacement and had an uneventful postoperative course without recurrence of symptoms. (Level of Difficulty: Intermediate.).

Keywords: positional mitral regurgitation; recurrent pulmonary edema; transient mitral regurgitation.

Publication types

Case Reports