Left Ventricular Outflow Tract Obstruction Due to Anomalous Insertion of Papillary Muscle
スポンサーリンク
概要
- 論文の詳細を見る
A 56-year-old man who complained of quadrantic hemianopsia was admitted to determine its etiology. Cerebral angiography revealed no organic stenosis. Echocardiography showed clear direct continuity between a hypertrophied anterolateral papillary muscle and the anterior mitral leaflet, and the left ventricular (LV) outflow tract (LVOT) was narrowed by the presence of an accessory papillary muscle. The LVOT obstruction caused an intra-LV pressure overload that resulted in LV concentric hypertrophy. Arrhythmia, such as paroxysmal atrial fibrillation (PAF), was thought to have caused a cerebral embolism. Mitral valve replacement (MVR), septal myectomy, and myectomy of the abnormal papillary muscle were performed, and complete release of the LVOT obstruction was accomplished. Anomalous insertion of papillary muscle is a rare cause of LVOT obstruction. Echocardiography was useful in identifying the papillary muscle malformation, and surgery was completely curative.
- 社団法人日本循環器学会の論文
- 2004-11-20
著者
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yaku hitoshi
Department of Cardiovascular Surgery, Kyoto Prefectural University School of Medicine
-
Tanaka Hiroyuki
Department Of Cardiology Kurashiki Central Hospital
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NOMURA Tetsuya
Department of Cardiovascular Medicine, Nantan General Hospital
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Shiraishi Jun
Department of Cardiology, Kyoto First Red Cross Hospital
-
Hayashi Hironori
Department Of Cardiovascular Medicine Kyoto Prefectural University Of Medicine
-
Yaku Hitoshi
Department Of Cardiovascular Dynamics National Cardiovascular Center Research Institute
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Yaku Hitoshi
Department Of Cardiovascular Surgery Kyoto Prefectural University Of Medicine
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Shiraishi Jun
Department Of Cardiology Kyoto First Red Cross Hospital
-
Kitamura Nobuo
Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine
-
Hirano Shinji
Department Of Cardiology National Maiduru Hospital
-
Hirano Shinji
Department Of Cardiology Maizuru Medical Center
-
Komatsu Sumio
Department of Cardiovascular Medicine, Matsuyama Shimin Hospital
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Nomura Tetsuya
Department Of Cardiology Maizuru Medical Center
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Harada Yoshiaki
Department of Cardiology, Maizuru Medical Center
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Suzaki Yoko
Department of Cardiology, Maizuru Medical Center
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Hosomi Yasuo
Department of Cardiology, Maizuru Medical Center
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Suzaki Yoko
Department Of Cardiology Maizuru Medical Center
-
Komatsu Sumio
Department Of Cardiology Maizuru Medical Center
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Kitamura Nobuo
Department Of Cardiovascular And Thoracic Surgery Kyoto Prefectural University Of Medicine
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Harada Yoshiaki
Department Of Cardiology National Maiduru Hospital
-
Hosomi Yasuo
Department Of Cardiology Maizuru Medical Center
-
Shiraishi Jun
Department Of Cardiology Maizuru Medical Center
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Harada Yoshiaki
Department Of Cardiology Maizuru Medical Center
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Hayashi Hironori
Department Of Breast Oncology Aichi Cancer Center Hospital
-
Hayashi Hironori
Department Of Cardiology Maizuru Medical Center
-
Tanaka Hiroyuki
Department Of Anesthesia And Clinical Research Institute National Hospital Organization Kyushu Medic
-
Yaku Hitoshi
Department of Cardiovascular and Thoracic Surgery, Kyoto Prefectural University of Medicine
-
KITAMURA Nobuo
Department of Agricultural Chemistry, The University of Tokyo
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