Reconstructive surgery of idiopathic hypertrophic cardiomyopathy, systolic anterior motion and severe mitral regurgitation
| Autor: | Miroljub Zlatanovic, Milan Vukovic, C Vojislava Neskovic, Ivan Stojanovic, Milan Babic, Zeljko Bojovic |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2004 |
| Předmět: |
medicine.medical_specialty
Reconstructive surgery reconstruction medicine.medical_treatment Hemodynamics lcsh:Medicine Internal medicine Mitral valve medicine dynamic opstruction Sinus rhythm cardiovascular diseases Mitral regurgitation business.industry lcsh:R Mitral valve replacement Hypertrophic cardiomyopathy General Medicine medicine.disease Septal myectomy Surgery hypertrophie regurgitation medicine.anatomical_structure subaortic regurgitation Cardiology cardiovascular system mitral regurgitation business |
| Zdroj: | Srpski Arhiv za Celokupno Lekarstvo, Vol 132, Iss 7-8, Pp 254-257 (2004) |
| ISSN: | 0370-8179 |
| Popis: | Hypertrophie obstructive cardiomyopathy (HOCM) is an idiopathic disease frequently associated with systolic anterior motion (SAM). The anterior leaflet of mitral valve is sucked by Ventury effect into the left ventricle outflow tract making subaortic stenosis more severe and producing mitral insufficiency at the same time. Septal myectomy along with mitral valve replacement has been the treatment of choice for a long time. An understanding of pathoanatomy and hemodynamics of the disease has opened possibility for total reconstructive treatment of both subaortic stenosis and mitral insufficiency in such patients. This is a case report of 50-year-old male with severe subaortic stenosis (136/70 mmHg) due to HOCM and SAM along with grade IV mitral insufficiency. Septal myectomy was performed. Mitral insufficiency was managed by reducing the height of posterior cusp along with remodeling of mitral annulus by Carpentier-Classic ring. In that way, subaortic obstruction was reduced to 30.9/10 mmHg while mitral insufficiency was lowered to negligible level. The patient was discharged from hospital with sinus rhythm eight days after the surgery. |
| Databáze: | OpenAIRE |
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