Prominent mitral L wave in a patient with partial pericardiectomy: a possible new etiology [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2010; 38(7): 499-501

Prominent mitral L wave in a patient with partial pericardiectomy: a possible new etiology

Mustafa Aparci, Ömer Yiginer, Ejder Kardesoglu, Ömer Uz
Department of Cardiology, Gata Haydarpasa Training Hospital, Istanbul, Turkey

The middiastolic flow of mitral L wave may result from pathologies that impair the diastolic function of the heart. Echocardiographic examination of a 48-year-old female patient with a three-year history of partial pericardiectomy showed mild left ventricular hypertrophy, mild mitral regurgitation, and mitral annular calcification. During pulse-Doppler examination, a prominent forward transmitral flow (mitral L wave) was noted. The patient developed supraventricular tachycardia attacks on simultaneous electrocardiographic monitoring, during which the mitral L wave disappeared, but E and A waves sustained. Variations in the velocities of the forward transmitral flow were less than 25% during deep inspiration. Tissue Doppler imaging showed equal velocities (0.06 m/sec) of the E’ and A’ waves recorded at the lateral mitral annulus.

Keywords: Echocardiography, Mitral L wave, pericardiectomy, diastolic dysfunction

How to cite this article
Mustafa Aparci, Ömer Yiginer, Ejder Kardesoglu, Ömer Uz. Prominent mitral L wave in a patient with partial pericardiectomy: a possible new etiology. Turk Kardiyol Dern Ars. 2010; 38(7): 499-501

Corresponding Author: Mustafa Aparci, Türkiye
© Copyright 2020 Archives of the Turkish Society of Cardiology
LookUs & Online Makale