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A long-term follow-up of a girl with dilated cardiomyopathy after mitral valve replacement and septal anterior ventricular exclusion

We treated a 10 year 11 month old girl with severe mitral valve regurgitation, stenosis and dilated cardiomyopathy, presented with New York Heart Association (NYHA) functional classification IV. She acutely developed cardiogenic shock with a dyskinetic anterior-septal left ventricle and entered a sh...

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Autores principales: Baba, Shiro, Doi, Hiraku, Ikeda, Tadashi, Komeda, Masashi, Nakahata, Tatsutoshi
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2758862/
https://www.ncbi.nlm.nih.gov/pubmed/19775464
http://dx.doi.org/10.1186/1749-8090-4-53
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author Baba, Shiro
Doi, Hiraku
Ikeda, Tadashi
Komeda, Masashi
Nakahata, Tatsutoshi
author_facet Baba, Shiro
Doi, Hiraku
Ikeda, Tadashi
Komeda, Masashi
Nakahata, Tatsutoshi
author_sort Baba, Shiro
collection PubMed
description We treated a 10 year 11 month old girl with severe mitral valve regurgitation, stenosis and dilated cardiomyopathy, presented with New York Heart Association (NYHA) functional classification IV. She acutely developed cardiogenic shock with a dyskinetic anterior-septal left ventricle and entered a shock state during our consultation about heart transplantation. Septal-anterior ventricular exclusion and mitral valve replacement were performed emergently. She successfully recovered from cardiogenic shock. Left ventricular end-diastolic diameter and fractional shortening improved from 71.5 mm (188.0% of normal) to 62.5 mm (144.2% of normal) and 7.6% to 18.3% respectively. Furthermore, her serum BNP decreased from 2217.5 pg/ml to 112.0 pg/ml. Her cardiac function has remained stable for 7 years since the procedures were performed.
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spelling pubmed-27588622009-10-08 A long-term follow-up of a girl with dilated cardiomyopathy after mitral valve replacement and septal anterior ventricular exclusion Baba, Shiro Doi, Hiraku Ikeda, Tadashi Komeda, Masashi Nakahata, Tatsutoshi J Cardiothorac Surg Case Report We treated a 10 year 11 month old girl with severe mitral valve regurgitation, stenosis and dilated cardiomyopathy, presented with New York Heart Association (NYHA) functional classification IV. She acutely developed cardiogenic shock with a dyskinetic anterior-septal left ventricle and entered a shock state during our consultation about heart transplantation. Septal-anterior ventricular exclusion and mitral valve replacement were performed emergently. She successfully recovered from cardiogenic shock. Left ventricular end-diastolic diameter and fractional shortening improved from 71.5 mm (188.0% of normal) to 62.5 mm (144.2% of normal) and 7.6% to 18.3% respectively. Furthermore, her serum BNP decreased from 2217.5 pg/ml to 112.0 pg/ml. Her cardiac function has remained stable for 7 years since the procedures were performed. BioMed Central 2009-09-23 /pmc/articles/PMC2758862/ /pubmed/19775464 http://dx.doi.org/10.1186/1749-8090-4-53 Text en Copyright © 2009 Baba et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Baba, Shiro
Doi, Hiraku
Ikeda, Tadashi
Komeda, Masashi
Nakahata, Tatsutoshi
A long-term follow-up of a girl with dilated cardiomyopathy after mitral valve replacement and septal anterior ventricular exclusion
title A long-term follow-up of a girl with dilated cardiomyopathy after mitral valve replacement and septal anterior ventricular exclusion
title_full A long-term follow-up of a girl with dilated cardiomyopathy after mitral valve replacement and septal anterior ventricular exclusion
title_fullStr A long-term follow-up of a girl with dilated cardiomyopathy after mitral valve replacement and septal anterior ventricular exclusion
title_full_unstemmed A long-term follow-up of a girl with dilated cardiomyopathy after mitral valve replacement and septal anterior ventricular exclusion
title_short A long-term follow-up of a girl with dilated cardiomyopathy after mitral valve replacement and septal anterior ventricular exclusion
title_sort long-term follow-up of a girl with dilated cardiomyopathy after mitral valve replacement and septal anterior ventricular exclusion
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2758862/
https://www.ncbi.nlm.nih.gov/pubmed/19775464
http://dx.doi.org/10.1186/1749-8090-4-53
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