PMC10225027_01
Extra-cardiac findings in patient with Ehlers Danlos syndrome including: Hypermobility of the joints in interphalangeal (A) and metacarpophalenghial (B). Skin hyperextensibility (C): This refers to the ability to stretch the skin beyond its normal range.. Cutaneous features of vascular Ehlers-Danlos syndrome include: thin translucent skin with visible veins (D, E) due to decrease of collagen. Foot deformity: low-arched and flat feet (F)
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F1
The extracardiac findings of the physical examination were joint hyperlaxity, skin hyperelasticity, skin translucence, and scar from previous surgeries (Figure 1).
Twelve-lead electrocardiogram: sinus rhythm, normal axis, no significant ST change
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F2
Electrocardiography revealed a normal sinus rhythm, without significant changes (Figure 2).
Continuous Doppler analysis of mitral regurgitation, Trans thoracic echocardiography four chamber view (A) and long axis view (B) showed flail of anterior leaflet of mitral valve with severe posterior lateral jet (Arrow)
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F3
In addition, the MV was thickened and myxomatous, and there was A3 scallop prolapsing (Figure 3), with a linear echodensity at the tip of this scallop, in favor of ruptured chordae (Videos 1-3).