Ultrasound Discovery of a Myocardial Cleft: A Case Report
Y. LEMZABI, I. ELMEJJATI, A. TIJANI, M. ZERYOUH, I. ASFALOU, A. BENYASS
Asian Journal of Cardiology Research · pp. 459–463 · Published 21 Jul 2025
10.9734/ajcr/2025/v8i1301Abstract
We report the case of a 54-year-old patient with poorly controlled hypertension who was admitted for the management of exertional dyspnea due to severe mitral regurgitation caused by restriction of the posterior valve. The TTE has objectified a cleft in the inferior myocardial wall. Myocardial clefts are common in the general population but are often underdiagnosed. Appropriate echocardiographic views can facilitate their identification and delineation. Most studies consider myocardial clefts to be benign anatomical variants. It is essential to clarify their clinical relevance in order to appropriately stratify additional tests and limit unnecessary invasive interventions.
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