Severe Mitral Regurgitation Due to Coronary Vasospasm, Confirmed by Ergonovine Echocardiography.
10.12701/yujm.2013.30.2.120
- Author:
Jung Joon CHA
1
;
Chan Hee KYUNG
;
Jang Ho CHO
;
Yong Hoon KIM
;
Haewon KIM
;
Sung Joo LEE
;
Se Joong RIM
;
Eui Young CHOI
Author Information
1. Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. CHOI0928@yuhs.ac
- Publication Type:Case Report
- Keywords:
Mitral valve insufficiency;
Coronary vasospasm;
Ergonovine;
Echocardiography;
Stress
- MeSH:
Aged;
Cardiomyopathy, Dilated;
Coronary Artery Disease;
Coronary Vasospasm*;
Echocardiography*;
Endocarditis;
Ergonovine*;
Hemodynamics;
Humans;
Mitral Valve;
Mitral Valve Insufficiency*;
Mitral Valve Prolapse;
Rheumatic Heart Disease
- From:Yeungnam University Journal of Medicine
2013;30(2):120-123
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The common causes of organic mitral regurgitation (MR) include mitral valve prolapse (MVP) syndrome, rheumatic heart disease, and endocarditis. MR also occurs secondary to dilated cardiomyopathy and coronary artery disease. In acute severe MR, the hemodynamic overload often cannot be tolerated, and mitral valve repair or replacement must be performed immediately. We report herein a case of severe MR due to coronary vasospasm that was confirmed via ergonovine echocardiography in a 70-year-old man. He was scheduled to undergo mitral valve surgery, but it did not push through and he was put on medical therapy.
