NONAUSCULTATORY
FEATURES OF MITRAL VALVE
PROLAPSE
Said M, and Kamal M
New Children’s Hospital,
Cairo University, Egypt
Objective: The present study was
carried out to determine the association of mitral valve prolapse (MVP)
with muscuskeletal and connective tissue disorders and the clinical
implications of such an association.
Methods: Twenty-four children
aged between 9-13 years old, 16 females and 8 males, were diagnosed to have
MVP syndrome clinically by auscultatory criteria of having systolic click
and murmur and confirmed by cross-sectional echocardiography using two
dimensional modality in the parasternal long axis. Thoracic cage dimensions
in 25 normal children of a similar age and sex have been previously
examined clinically to exclude any possibilities of having MVP and used for
comparison as a control group.
Results: Complete physical
examination and x-ray of the bony thorax of the study group revealed bony
deformities, which were subdivided into four main groups according to the
predominant deformity on the clinical grounds. Shallow chest with pectus
excavatum , straight back , kyphosis and elliptical chest with marfanoid type, all were
reported in the cases of the study.
Conclusion: It is concluded that
musculoskeletal abnormalities have to be considered as nonauscultatory
features of MVP. Therefore, any child with musculoskeletal deformity has to
be screened for MVP by cross-sectional echocardiography to prevent
life-threatening complications.