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Hypertrophic Cardiomyopathy with Intermittent Free Mitral Regurgitation–A Surgical Dilemma
Author(s) -
Gibson Patrick H.,
Khandekar Sayra A.,
Taylor Dylan,
Becher Harald
Publication year - 2014
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.12519
Subject(s) - medicine , cardiology , hypertrophic cardiomyopathy , mitral regurgitation , ventricular outflow tract obstruction , mitral valve , context (archaeology) , atrial fibrillation , ventricular outflow tract , etiology , mitral valve repair , paleontology , biology
We describe the case of a 52‐year‐old woman presenting with non‐ST elevation myocardial infarction, atrial fibrillation, and a new diagnosis of hypertrophic cardiomyopathy. Transesophageal echocardiography following hemodynamic deterioration revealed completely restricted mitral leaflet motion with free mitral regurgitation, and severe left ventricular outflow tract (LVOT) obstruction. Surgical intervention was considered; however, repeat imaging following a period of clinical stability revealed resolution of the findings suggesting a transient ischemic etiology. The case is supported by clinical and echocardiographic images with movie clips, and a discussion of the likely pathology in the context of the underlying condition.