PMID- 38459860
OWN - NLM
STAT- MEDLINE
DCOM- 20240311
LR  - 20240311
IS  - 0021-5252 (Print)
IS  - 0021-5252 (Linking)
VI  - 77
IP  - 2
DP  - 2024 Feb
TI  - [Mid-ventricular Hypertrophic Obstructive Cardiomyopathy in a Patient Whose 
      Hemodynamics Were Exacerbated by Forward Shift of the Posterior Leaflet Caused by 
      Mitral Annular Calcification].
PG  - 110-114
AB  - A 82-year-old woman came to our hospital because of orthopnea and cardiac 
      cachexia. Echocardiography revealed a pressure gradient of 50 mmHg at the left 
      ventricular outflow tract and that of 78 mmHg at the mid-ventricle. Systolic 
      anterior motion of the mitral leaflet caused by mitral annular calcification and 
      severe mitral regurgitation( MR) were observed. On the basis of the patient's age 
      and poor general conditions, we resected abnormal myocardium on the septum from 
      the outflow tract down to the apex via aortic valve and we left the mitral 
      annular calcification. The pressure gradient in the left ventricle, systolic 
      anterior motion and mitral regurgitation were relieved, and her postoperative 
      course was uneventful. Two years after the surgery, she remains in New York Heart 
      Association( NYHA) class Ⅰ and is well.
FAU - Komeda, Masashi
AU  - Komeda M
AD  - Cardiovascular Center, Fukuda General Hospital, Hirakata, Japan.
FAU - Sawazaki, Masaru
AU  - Sawazaki M
FAU - Tomari, Shiro
AU  - Tomari S
FAU - Suenaga, Yoshihito
AU  - Suenaga Y
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  - Humans
MH  - Female
MH  - Aged, 80 and over
MH  - *Mitral Valve Insufficiency/diagnostic imaging/etiology/surgery
MH  - Heart Ventricles/surgery
MH  - Mitral Valve/diagnostic imaging/surgery
MH  - *Cardiomyopathy, Hypertrophic/complications/diagnostic imaging/surgery
MH  - Hemodynamics
EDAT- 2024/03/09 20:42
MHDA- 2024/03/11 06:43
CRDT- 2024/03/09 08:02
PHST- 2024/03/11 06:43 [medline]
PHST- 2024/03/09 20:42 [pubmed]
PHST- 2024/03/09 08:02 [entrez]
PST - ppublish
SO  - Kyobu Geka. 2024 Feb;77(2):110-114.