Asymmetric hypertrophic obstructive cardiomyopathy and severe mitral insufficiency
DOI:
https://doi.org/10.37615/retic.n3a9Keywords:
hypertrophic cardiomyopathy, mitral regurgitation, septal myomectomy.Abstract
Hypertrophic cardiomyopathy is defined by the presence of increased thickness of the LV Wall that cannot be explained only by abnormal load conditions.
A case of a young woman diagnosed with cardiomyopathy asymmetric hypertrophy (HCM) with LV outflow tract obstruction and mitral regurgitation is presented. Surgical myomectomy resolved the regurgitation without requirement for any additional mitral valve procedures.
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Yu EH, Omran AS, Wigle ED, et al. Mitral regurgitation in hypertrophic obstructive cardiomyopathy: Relationship to obstruction and relief with myectomy. J Am Coll Cardiol 2000; 36 (7): 2.219-2.225. DOI: https://doi.org/10.1016/S0735-1097(00)01019-6
Sherrid MV, Balaram S, Kim B, et al. The Mitral Valve in Obstructive Hypertrophic Cardiomyopathy: A Test in Context. J Am Coll Cardiol 2016; 67 (15): 1.846-1.858. DOI: https://doi.org/10.1016/j.jacc.2016.01.071
Zhu WX, Oh JK, Kopecky SL, et al. Mitral regurgitation due to ruptured chordae tendinae in patients with hypertrophic obstructive cardiomyopathy. J Am Coll Cardiol 1992; 20: 242-247. DOI: https://doi.org/10.1016/0735-1097(92)90166-K
McIntosh CL, Maron BJ, Cannon RO 3.rd, Klues HG. Initial results of combined anterior mitral leaflet plication and ventricular septal myotomy-myectomy for relief of left ventricular outflow tract obstruction in patients with hypertrophic cardiomyopathy. Circulation 1992; 86: II60-II67.
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Copyright (c) 2016 María Guadalupe Romero, Adrián José Lescano, Diego Crippa, Matías Sztejfman, Walter Rodríguez, Victor Darú
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