Acute Mitral Regurgitation due to Spontaneous Chordal Rupture in a Patient With Obstructive Hypertrophic Cardiomyopathy.
A 69-year-old male presented with obstructive hypertrophic cardiomyopathy, mitral valve regurgitation, and myxomatous mitral valve prolapse. A spontaneous chordal rupture and acute severe mitral regurgitation resulted in abrupt clinical deterioration despite complete relief of severe left ventricular outflow tract obstruction and systolic anterior motion of the anterior mitral leaflet. The patient underwent extensive cardiac surgery due to intractable heart failure. Surgical procedures included a mitral valve replacement, a septal myectomy, and the Maze procedure.
Yang
Min-Jae
MJ
Department of Cardiology, Ajou University Hospital, Suwon, Korea.
Kang
Soo-Jin
SJ
Yoon
Myeong-Ho
MH
Hwang
Yoon-Ho
YH
Lim
Hong-Seok
HS
Choi
Byoung-Joo
BJ
Choi
So-Yeon
SY
Hwang
Gyo-Seung
GS
Shin
Joon-Han
JH
Hong
You-Sun
YS
Tahk
Seung-Jea
SJ