Cardiovascular Surgery and Interventions
2016, Vol 3, Num 1 Page(s): 028-030
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A rare case of hypertrophic obstructive cardiomyopathy with mitral valve stenosis
Anil Özen1, Aytaç Çalışkan2, Utku Ünal1, Emre Kubat3, Levent Birincioglu1
1Department of Cardiovascular Surgery, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
2Department of Cardiovascular Surgery, Karşıyaka State Hospital, İzmir, Turkey
3Department of Cardiovascular Surgery, Karabük University Karabük Training and Research Hospital, Karabük, Turkey
Keywords: Hypertrophic obstructive cardiomyopathy; mitral stenosis; mitral valve replacement; septal myectomy
A 50-year-old male was referred with a 10 day history of tachypnea and dyspnea. Transthoracic echocardiography showed serious fibrotic mitral stenosis and a mean gradient of 18 mmHg. The interventricular septum was hypertrophic with a width of 2.1 cm. A standard septal myectomy and mitral valve replacement were performed. Hypertrophic obstructive cardiomyopathy is mostly associated with mitral insufficiency rather than mitral stenosis. Surgery can be life-saving in acute deterioration in patients with coexisting hypertrophic obstructive cardiomyopathy and mitral valve pathology.
Anil Özen1, Aytaç Çalışkan2, Utku Ünal1, Emre Kubat3, Levent Birincioglu1
1Department of Cardiovascular Surgery, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
2Department of Cardiovascular Surgery, Karşıyaka State Hospital, İzmir, Turkey
3Department of Cardiovascular Surgery, Karabük University Karabük Training and Research Hospital, Karabük, Turkey
Keywords: Hypertrophic obstructive cardiomyopathy; mitral stenosis; mitral valve replacement; septal myectomy
A 50-year-old male was referred with a 10 day history of tachypnea and dyspnea. Transthoracic echocardiography showed serious fibrotic mitral stenosis and a mean gradient of 18 mmHg. The interventricular septum was hypertrophic with a width of 2.1 cm. A standard septal myectomy and mitral valve replacement were performed. Hypertrophic obstructive cardiomyopathy is mostly associated with mitral insufficiency rather than mitral stenosis. Surgery can be life-saving in acute deterioration in patients with coexisting hypertrophic obstructive cardiomyopathy and mitral valve pathology.
DOI : 10.5606/e-cvsi.2016.353
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