anterior leaflet prolapse

[rosha629]

Sir, I have been having palpatations, SOB, extreme fatique, and chest pain at times, had a stress test it was normal, had a ECHO done and it showed anterior leaflet prolapse, what does this mean and what is the treatment for this, i do have a appointment with a cardiologist in Aug. Thank you for your time

[herbert2]

Dear Sir, having severe chest pain and short of breath i was diagnonized via echocardiography and found MILD MVP (ANTERIOR LEAFLET) WITHOUT MR. Can i have any medical advice on this?

[kenkeith]

MVA (mitral valve area) is a measurement of the MV's orifice (opening).  Normal size 4.0 to 6.0 cm2.

Your doctor has all the necessary tests, symptoms,  to make a diagnosis, and the indications are have some leaflet prolapse but there is no leaking or trivial leakage. Has there been an explanation for the SOB, extreme fatigue, and chest pain?

It is true backflow (leakage) doesn't occur in all cases of MVP. In fact, most people who have MVP don't have or slight backflow and never have any symptoms or complications. In these people, even though the valve flaps prolapse, the valve still can form a tight seal.  

It appears by your post you have serious symptoms, does your doctor have a diagnosis?  My advice would be to follow your doctor's advice, but you should be told the underlying cause.

Thanks for your response.

[donvon]

I visited my doctor with the echo results where i was told that i have a mild mitral anterior leaflet prolapse "without MR" At the MVA section of the results it was written MVA - ( 4.0-6.0) which i think is the level it is supposed to be in between. MY DOCTOR SAID I DON'T NEED AN OPERATION AND I CAN CONTINUE PLAYING FOOTBALL AND EXERCISING. I NEED YOUR OPINION

[kenkeith]

Apparently you have the common signs and symptoms of MVP that include  fatigue, decreased exercise capacity, shortness of breath,etc.

Mitral valve regurgitation is present when the valve does not close completely, causing blood to leak back into the left atrium. The condition increases the workload on the heart and are very serious conditions. If left untreated, it can lead to debilitating symptoms including cardiac arrhythmia, congestive heart failure, and irreversible heart damage

The condition MVP can be due to leaflet enlargement or chordal elongation (chord that attaches the leaflet to the heart wall (papilary muscle).  Pressure from the lower ventricle pumping chamber causes the leaflet(s) to bellow back into the atrium with the back flow of blood during systole (pumping phase). treatment  can be shortening of the chordae, and or leaflet repair.

The condition and repair can be more complicated than what I have stated, but hopefully this gives you some insight of what is involved.  Thank you for sharing, and if you have any followup questions you are welcome to post.  Take care.