[The ischemic mitral valve regurgitation due to acute coronary thromboembolism; report of a case].
A 71-year-old man with congestive heart failure due to acute myocardial infarction was referred to our hospital. He was under the support of mechanical ventilation and the intraaortic balloon pumping (IABP) and coronary angiogram revealed the thromboembolism of the obtuse marginal artery. We completed the revascularization by the direct percutaneous coronary intervention. However, grade II mitral valve regurgitation and heart failure were worsening. Mitral valvuloplasty and the modified maze procedure through the partial lower sternotomy were performed. He is still in good condition 4 years later. Ischemic mitral valve regurgitation due to the coronary thromboembolism is very rare. Careful follow-up on the grade of ischemic mitral valve regurgitation is necessary even after the early coronary recanalization. The surgical approach of the partial sternotomy should be used in such a case of acute mitral valve regurgitation.
Sogabe
O
O
Department of Cardiovascular Surgery, Mitoyo General Hospital, Kagawa, Japan.
Oya
T
T
Tokumo
M
M
Yoshida
O
O
Nishizawa
H
H
D000208:Acute Disease; D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D006348:Cardiac Surgical Procedures / Q000379:methods; D003328:Coronary Thrombosis / Q000150:complications* / Q000628:therapy; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000601:surgery; D008944:Mitral Valve Insufficiency / Q000209:etiology* / Q000601:surgery; D013249:Sternum / Q000601:surgery; D016896:Treatment Outcome