Severe mitral valve regurgitation can be caused by a spectrum of disorders that can influence the management of this entity. Here we describe the diagnostic work-up in the case of a patient presenting with flail mitral valve secondary to Barlow’s disease and concomitant fever, underscoring the difficulty in providing differential diagnosis of the underlying causative etiology and to plan subsequent appropriate treatment. Diagnostic tests leaded to the incidental discovery of concomitant iliac artery aneurysm; hence, we discuss the association between Barlow’s disease and arterial abnormalities, possibly pointing towards a syndromic pattern related to common pathogenic background affecting connective tissue.

中文翻译：

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il二尖瓣与I动脉瘤相关联：潜在综合征模式的诊断挑战。案例报告

严重的二尖瓣关闭不全可能由一系列影响该实体管理的疾病引起。在这里，我们描述了患者继发Barlow病和伴有发烧的fl状二尖瓣的情况下的诊断检查，强调了难以对潜在的病因进行鉴别诊断并计划随后的适当治疗。诊断测试导致偶然发现动脉瘤。因此，我们讨论了巴洛氏病和动脉异常之间的关联，可能指向与影响结缔组织的常见致病背景有关的综合征。