Acute Mitral Regurgitation due to Spontaneous Chordal Rupture in a Patient With Obstructive Hypertrophic Cardiomyopathy.
10.4070/kcj.2009.39.7.292
- Author:
Min Jae YANG
1
;
Soo Jin KANG
;
Myeong Ho YOON
;
Yoon Ho HWANG
;
Hong Seok LIM
;
Byoung Joo CHOI
;
So Yeon CHOI
;
Gyo Seung HWANG
;
Joon Han SHIN
;
You Sun HONG
;
Seung Jea TAHK
Author Information
1. Department of Cardiology, Ajou University Hospital, Suwon, Korea. yoonmh65@hanmail.net
- Publication Type:Case Report
- Keywords:
Hypertrophic cardiomyopathy;
Chordae tendineae;
Mitral valve regurgitation
- MeSH:
Aged;
Cardiomyopathy, Hypertrophic;
Chordae Tendineae;
Heart Failure;
Humans;
Male;
Mitral Valve;
Mitral Valve Insufficiency;
Mitral Valve Prolapse;
Rupture;
Thoracic Surgery
- From:Korean Circulation Journal
2009;39(7):292-294
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.