[A case of successfully operated hypertrophic obstructive cardiomyopathy in a child].
Nihon Kyobu Geka Gakkai Zasshi
; 41(9): 1545-9, 1993 Sep.
Article
en Ja
| MEDLINE
| ID: mdl-8409612
A case of surgical treatment of hypertrophic obstructive cardiomyopathy (HOCM) in a 5-year-old boy is reported. This is the youngest case in Japan. He had been diagnosed as HOCM and treated conservatively with beta-blocker and Ca-antagonist, but his complaints of dyspnea and chest oppression during efforts had increased. Cardiac catheterization showed a peak systolic pressure gradient of 110 mmHg between the left ventricle and systemic artery, and echocardiogram disclosed a systolic anterior motion (SAM) of the mitral valve and mitral regurgitation (MR). At operation transaortic septal myectomy and myotomy were performed according to preoperative findings by echocardiogram and MRI, and a marked reduction in pressure gradient and a decrease in SAM and MR were obtained. Thus, a satisfactory result can be obtained by myectomy and myotomy without mitral valve replacement in a pediatric patient with HOCM, based on the preoperative image analysis.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Cardiomiopatía Hipertrófica
Límite:
Child, preschool
/
Humans
/
Male
Idioma:
Ja
Revista:
Nihon Kyobu Geka Gakkai Zasshi
Año:
1993
Tipo del documento:
Article
País de afiliación:
Japón
Pais de publicación:
Japón