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Case Reports
. 2025 Apr 19;11(7):599-603.
doi: 10.1016/j.hrcr.2025.04.010. eCollection 2025 Jul.

Sudden cardiac arrest during flight in a military helicopter pilot with mitral annular disjunction

John-Henry L Dean  1 , Matthew A Tunzi  1 , Faith R Kelly  1 , Giovanni E Lorenz  2 , Emilio Fentanes  1 , Kelvin N V Bush  1
Affiliations
Case Reports

Sudden cardiac arrest during flight in a military helicopter pilot with mitral annular disjunction

John-Henry L Dean et al. HeartRhythm Case Rep. .
No abstract available

Keywords: Athletes; Military; Mitral annular disjunction; Mitral valve prolapse; Sudden cardiac arrest; Ventricular fibrillation.

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Conflict of interest statement

The authors have no conflicts of interest to disclose.

Figures

Figure 1
Figure 1
Automated external defibrillator tracing demonstrating ventricular fibrillation and appropriate delivery of 200 J defibrillation during cardiopulmonary resuscitation efforts.
Figure 2
Figure 2
Electrocardiogram obtained immediately post arrest demonstrating a normal sinus rhythm with PVCs in a bigeminal pattern with a left ventricle origin.
Figure 3
Figure 3
Baseline electrocardiogram performed at admission to a tertiary care facility showing a normal sinus rhythm with first-degree AV delay, intraventricular conduction delay, QRS fractionation, and T-wave inversions in the inferior leads.
Figure 4
Figure 4
Cardiac magnetic resonance imaging demonstrating the bileaflet mitral valve prolapse and mitral annular disjunction (A) and the basal inferior posterior wall late gadolinium enhancement (B).
Figure 5
Figure 5
Clinical, echocardiographic, cardiac magnetic resonance imaging, and morphofunctional markers of arrhythmic mitral valve prolapse. TWI = T-wave inversions; PVC = premature ventricular contraction; QTc = corrected QT interval; VT = ventricular tachycardia; SCD = sudden cardiac death; MR = mitral regurgitation; MVP = mitral valve prolapse; LVEF = left ventricular ejection fraction; LGE = late gadolinium enhancement.
See this image and copyright information in PMC

References

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