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KMID : 0368120090390070292
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Korean Circulation Journal
2009 Volume.39 No. 7 p.292 ~ p.294
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Acute Mitral Regurgitation due to Spontaneous Chordal Rupture in a Patient With Obstructive Hypertrophic Cardiomyopathy
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Yang Min-Jae
Kang Soo-Jin
Yoon Myeong-Ho
Hwang Yoon-Ho
Lim Hong-Seok
Choi Byoung-Joo
Choi So-Yeon
Hwang Gyo-Seung
Shin Joon-Han
Hong You-Sun
Tahk Seung-Jea
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Abstract
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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.
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KEYWORD
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Hypertrophic cardiomyopathy, Chordae tendineae, Mitral valve regurgitation
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