Extended septal myectomy for hypertrophic obstructive cardiomyopathy with anomalous insertion of chordae tendineae.
We present a case of hypertrophic cardiomyopathy with anomalous insertion of mitral valve chordae tendineae diagnosed with two-dimensional echocardiogram. A high gradient was found in left ventricular outflow tract (LVOT) obstruction, which was attributed to the fixed gradient caused by anomalous insertion of chordae tendineae in addition to the gradient of dynamic LVOT obstruction. The misinserted chordae tendineae were resected, and an extended septal myectomy was performed. Follow-up echocardiography showed reduction of the pressure gradient to less than 40 mm Hg in the LVOT, and the patient had no symptoms during the 1-year follow-up period.
Cardiology Department, Kosuyolu Heart and Research Hospital, Istanbul, Turkey. ramazankargin@yahoo.com
Ramazan
R
Kargin
Murat Bülent
MB
Rabuş
Atila
A
Bitigen
Nihal
N
Ozdemir
Cevat
C
Yakut
D000328:Adult; D006348:Cardiac Surgical Procedures / Q000379:methods*; D002312:Cardiomyopathy, Hypertrophic / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery*; D002815:Chordae Tendineae / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006343:Heart Septal Defects / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D014463:Ultrasonography