Acute Mitral Regurgitation due to Spontaneous Chordal Rupture in a Patient With Obstructive Hypertrophic Cardiomyopathy

A 69-year-old male presented with obstructive hypertrophic cardiomyopathy, mitral valve regurgitation, and myxomatous mitral valve prolapse. A spontaneous chordal rupture and acute severe mitral regurgitation resulted in abrupt clinical deterioration despite complete relief of severe left ventricula...

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Detalles Bibliográficos
Autores principales: Yang, Min-Jae, Kang, Soo-Jin, Yoon, Myeong-Ho, Hwang, Yoon-Ho, Lim, Hong-Seok, Choi, Byoung-Joo, Choi, So-Yeon, Hwang, Gyo-Seung, Shin, Joon-Han, Hong, You-Sun, Tahk, Seung-Jea
Formato: Texto
Lenguaje:English
Publicado: The Korean Society of Cardiology 2009
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2771821/
https://www.ncbi.nlm.nih.gov/pubmed/19949615
http://dx.doi.org/10.4070/kcj.2009.39.7.292
Descripción
Sumario:A 69-year-old male presented with obstructive hypertrophic cardiomyopathy, mitral valve regurgitation, and myxomatous mitral valve prolapse. A spontaneous chordal rupture and acute severe mitral regurgitation resulted in abrupt clinical deterioration despite complete relief of severe left ventricular outflow tract obstruction and systolic anterior motion of the anterior mitral leaflet. The patient underwent extensive cardiac surgery due to intractable heart failure. Surgical procedures included a mitral valve replacement, a septal myectomy, and the Maze procedure.

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