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Case Report

. 2013; 4(4): 257-259

A patient with Marfan’s syndrome presented with severe rheumatic mitral stenosis and successfully treated with percutaneous transmitral balloon commissurotomy e Report of first case

Chamrajnagar Mahadevappa Nagesh, Soumya Patra, Ajitpal Singh, Srinivas C. Badnur, Babu Reddy, Manjunath C. Nanjappa.

Marfan’s syndrome (MFS) is an inherited autosomal dominant disorder of connective tissue with mutation
on the fibrillin-1 gene encoding for fibrillin. This frequently involves the cardiovascular system
with prevalence is 1:5000e10,000. The clinical major criteria involve the skeletal and ocular apparatus
and the cardiovascular and central nervous system. In Marfan’s syndrome mitral valve prolapse and
aortic dilation are the main cardiovascular manifestations. According to the literature database the
prevalence of aortic dilatation is 76%, 62% for mitral valve prolapse, 29% for mitral valve regurgitation and
26% for aortic regurgitation, in adult patients with Marfan’s syndrome. We are reporting a case who
presented with severe rheumatic mitral stenosis & later on examination found to be a case of Marfan’s
syndrome. This patient was successfully treated with percutaneous transmitral balloon commissurotomy.
In medline search, so far there is no other case of Marfan’s syndrome reported to have rheumatic
mitral stenosis

Key words: Marfan’s syndrome Mitral stenosis Percutaneous transmitral commissurotomy Rheumatic heart disease

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The articles in Bibliomed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.