Hypertrophic obstructive cardiomyopathy complicated by ruptured chordae tendinea to the posterior mitral leaflet and severe congestive heart failure

被引:3
作者
Morris, Andrew L [1 ]
Ibrahim, Moheb
机构
[1] St Boniface Gen Hosp, Cardiol Sect, Univ Manitoba, Fac Med, Winnipeg, MB R2H 2A6, Canada
[2] South Lake Reg Hlth Ctr, Cardiac Surg Div, Newmarket, ON, Canada
关键词
Hypertrophic cardiomyopathy; Mitral valve prolapse; Ruptured chordae tendinea;
D O I
10.1016/S0828-282X(09)70516-1
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 63-year-old woman with hypertrophic obstructive cardiomyopathy developed rapidly progressive fatigue, shortness of breath and congestive heart failure. A transesophageal echocardiogram demonstrated ruptured chordae to the posterior mitral valve leaflet with severe mitral regurgitation. Mitral valve replacement eliminated the outflow gradient. Acute or subacute hemodynamic deterioration in a patient with hypertrophic obstructive cardiomyopathy should lead to a search for associated lesions.
引用
收藏
页码:E259 / E260
页数:2
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