Hypertrophic non-obstructive cardiomyopathy with aortic and mitral regurgitation: an unusual presentation for surgical option.
The case is described of a pediatric patient with hypertrophic non-obstructive cardiomyopathy (HNCM) presenting with aortic and mitral regurgitation. This 17-year-old boy had been followed for HNCM since he was aged 4 years. Serial echocardiography had been showing the emergence and progression of aortic regurgitation and mitral regurgitation since the patient was aged 6 years. He started to have syncope attacks at 16 years of age and fell into congestive heart failure at 17 years. He underwent successful mitral valve repair by means of double-orifice technique, and aortic valve repair with raphe triangular resection, cusp plication and subvalvular annuloplasty.
Ishizaka
Toru
T
Department of Surgery, Division of Cardiovascular Surgery, Osaka University Graduate School of Medicine (E1), Suita, Osaka, Japan.
Fukushima
Norihide
N
Sawa
Yoshiki
Y
Ichikawa
Hajime
H
Miyamoto
Yuji
Y
Yamane
Seiko
S
Matsuda
Hikaru
H
D000293:Adolescent; D001022:Aortic Valve Insufficiency / Q000175:diagnosis* / Q000601:surgery; D002312:Cardiomyopathy, Hypertrophic / Q000175:diagnosis* / Q000601:surgery; D002315:Cardiopulmonary Bypass; D017023:Coronary Angiography; D018618:Echocardiography, Doppler, Color; D004562:Electrocardiography; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D017379:Hypertrophy, Left Ventricular / Q000175:diagnosis / Q000601:surgery; D008297:Male; D008944:Mitral Valve Insufficiency / Q000175:diagnosis* / Q000601:surgery