title: Hypertrophic non-obstructive cardiomyopathy with aortic and mitral regurgitation: an unusual presentation for surgical option.
abstract: 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.
authors.affiliation: Department of Surgery, Division of Cardiovascular Surgery, Osaka University Graduate School of Medicine (E1), Suita, Osaka, Japan.
authors.forename: Toru
authors.initials: T
authors.lastname: Ishizaka
authors.forename: Norihide
authors.initials: N
authors.lastname: Fukushima
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Sawa
authors.forename: Hajime
authors.initials: H
authors.lastname: Ichikawa
authors.forename: Yuji
authors.initials: Y
authors.lastname: Miyamoto
authors.forename: Seiko
authors.initials: S
authors.lastname: Yamane
authors.forename: Hikaru
authors.initials: H
authors.lastname: Matsuda
mesh_terms: 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