[Hypertrophic obstructive myocardiopathy complicated by severe mitral insufficiency secondary to rupture of the chordae tendineae].
A case of suddenly increasing dyspnea in a patient with hypertrophic obstructive cardiomyopathy is reported. Transesophageal echocardiography showed severe mitral regurgitation secondary to ruptured chordae tendineae. Mitral valve replacement was done, correcting both mitral regurgitation and subaortic gradient. Utility of transesophageal echocardiography in diagnosis and therapeutic options are discussed.
Moya Mur
J L
JL
Servicio de Cardiología, Hospital Ramón y Cajal, Madrid.
Barjau
C
C
García Lledó
A
A
Asín Cardiel
E
E
de Pablo Zarzosa
C
C
Ortiz de Salazar
A
A
García Andrade
I
I
Oliva
E
E
D002312:Cardiomyopathy, Hypertrophic / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D002815:Chordae Tendineae; D002908:Chronic Disease; D003131:Combined Modality Therapy; D006341:Heart Rupture / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery
Miocardiopatía hipertrófica obstructiva complicada con insuficiencia mitral severa secundaria a rotura de cuerdas tendinosas.