PMID- 17352143 OWN - NLM STAT- MEDLINE DCOM- 20070327 LR - 20071115 IS - 0021-5252 (Print) IS - 0021-5252 (Linking) VI - 60 IP - 3 DP - 2007 Mar TI - [Mitral valve replacement for hypertrophic obstructive cardiomyopathy with repeated heart failure; report of a case]. PG - 242-4 AB - A 62-year-old woman with hypertrophic obstructive cardiomyopathy suffered from repeated heart failure. Preoperative echocardiogrphy demonstrated pressure gradient (PG) of 64 mmHg in left ventricular cavity, mitral regurgitation II, and tricuspid regurgitation II with an ejection fraction of 74%. Cardiac catheterizaition revealed cardiac index of 1.50 l/min/m2. She was recommended mitral valve replacement (MVR) because she was hospitalized several times for heart failure. She underwent MVR, tricuspid annuloplasty, and modified maze operation. Postoperative PG fell till 15 mmHg in echocardiogrphy. Postoperative cardiac catheterization revealed cardiac index of 2.00 l/min/m2. MVR contributed to decrease of PG in intraventricular cavity and increase of cardiac output. Postoperative cardiac status was classified as New York Heart Association (NYHA) class I-II. FAU - Okada, Haruhiko AU - Okada H AD - Department of Cardiovascular Surgery, Tokuyama Central Hospital, Shunan, Japan. FAU - Nishida, M AU - Nishida M FAU - Takahashi, M AU - Takahashi M LA - jpn PT - Case Reports PT - English Abstract PT - Journal Article PL - Japan TA - Kyobu Geka JT - Kyobu geka. The Japanese journal of thoracic surgery JID - 0413533 SB - IM MH - Cardiomyopathy, Hypertrophic/*surgery MH - Female MH - Heart Failure/*etiology MH - *Heart Valve Prosthesis Implantation MH - Humans MH - Middle Aged MH - Mitral Valve/*surgery MH - Mitral Valve Insufficiency/*surgery MH - Recurrence MH - Tricuspid Valve Insufficiency/surgery EDAT- 2007/03/14 09:00 MHDA- 2007/03/28 09:00 CRDT- 2007/03/14 09:00 PHST- 2007/03/14 09:00 [pubmed] PHST- 2007/03/28 09:00 [medline] PHST- 2007/03/14 09:00 [entrez] PST - ppublish SO - Kyobu Geka. 2007 Mar;60(3):242-4.