Mitral Regurgitation With an Isolated Anterior Mitral Leaflet Cleft : A Case Report
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概要
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A 20-year-old man was admitted to hospital because of general fatigue during exercise. He had had a heart murmur since the age of 6 years. Echocardiography showed severe mitral regurgitation (MR, IV°), probably caused by an anterior leaflet cleft or tendon rupture. During surgery, a cleft measuring 9 mm in length was found in the center of the antenor leaflet of the mitral valve. The cleft was closed directly, together with annuloplasty using the bilateral Kay's method. A Cosgrove ring (32mm) was added because the mitral valve annulus was dilated. The patient's postoperative course was uneventful and echocardiography after surgery demonstrated no MR. An isolated cleft of the anterior mitral leaflet is a rare cause of MR and in this case, direct closure of the cleft with additional annuloplasty gave a good functional result.
- 社団法人日本循環器学会の論文
- 2004-12-20
著者
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三木 義男
癌研ゲノムセンター
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三木 義男
東京医歯大 難治疾患研 疾患医科学研究系分子遺伝分野
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ISHIKAWA Susumu
Second Department of Surgery, Gunma University School of Medicine
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MORISHITA Yasuo
Second Department of Surgery, Gunma University School of Medicine
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Takahashi Toru
Department Of Thoracic And Visceral Organ Surgery Gunma University Graduate School Of Medicine And F
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Yoshimoto M
The Cancer Institute Of Japanese Foundation For Cancer Research (jfcr)
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三木 義男
東京医科歯科大学難治疾患研究所 分子遺伝分野
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Matsumoto-mishima Yuko
癌研究会癌化学療法センター 臨床研究部
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Oshima Kiyohiro
Department Of Thoracic And Visceral Organ Surgery Gunma University Graduate School Of Medicine And F
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Oshima Kiyohiro
Second Department of Surgery, Gunma University Faculty of Medicine
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Takahashi Toru
Second Department of Surgery, Gunma University Faculty of Medicine
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Sato Yasushi
Second Department of Surgery, Gunma University Faculty of Medicine
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Mohara Jun
Second Department of Surgery, Gunma University Faculty of Medicine
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Sato Yasushi
Second Department Of Surgery Gunma University Faculty Of Medicine
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Murakami Jun
Department Of Thoracic And Visceral Organ Surgery Gunma University Graduate School Of Medicine
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Ishikawa Susumu
Department Of Thoracic And Visceral Organ Surgery Gunma University Graduate School Of Medicine
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Morishita Yasuo
Department Of Thoracic And Visceral Organ Surgery Gunma University Graduate School Of Medicine And F
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Takahashi Toru
Second Department Of Internal Medicine (cardiology) Sapporo Medical University School Of Medicine
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Morishita Yasuo
Second Department Of Surgery Faculty Of Medicine Gunma University
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Ishikawa Susumu
Second Department Of Surgery Gunma University Graduate School Of Medicine
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Miki Yoshio
Department Of Human Genome Analysis Cancer Chemotherapy Center Japanese Foundation For Cancer Resear
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Morishita Yasuo
Second Department Of Surgery
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