Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
10
pubmed:dateCreated
1995-12-5
pubmed:abstractText
A case of surgical treatment of coexistent hypertrophic obstructive cardiomyopathy (HOCM) and coronary artery disease (CAD) in a 65-year-old male patient is reported. He had been diagnosed as HOCM and treated conservatively with beta-blocker and Ca-antagonist, but his complaints of chest oppression and palpitation had increased. Echocardiography revealed a systolic anterior motion of the mitral valve and mitral regurgitation. Cardiac catheterization showed a severe mitral regurgitation and peak systolic pressure gradient of 35 mmHg between the left ventricular and systemic artery. In addition, selective coronary angiography demonstrated a 99% stenosis in segment 7. He underwent aortocoronary bypass grafting and concomitant mitral valve replacement, and marked symptomatic and hemodynamic benefit could be achieved. This case shows the coexistence of HOCM and CAD in the same patient and suggest not only HOCM but also CAD should be routinely examined in the patient with angina, particularly when operative management is contempted. This case further suggests that simultaneous treatment of both diseases is more beneficial than single treatment of CAD or HOCM.
pubmed:language
jpn
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
0369-4739
pubmed:author
pubmed:issnType
Print
pubmed:volume
43
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1741-6
pubmed:dateRevised
2011-7-27
pubmed:meshHeading
pubmed:year
1995
pubmed:articleTitle
[A case of simultaneous treatment with mitral valve replacement and aorto-coronary bypass grafting of hypertrophic obstructive cardiomyopathy and coronary artery disease].
pubmed:affiliation
Second Department of Surgery, Fukui Medical School, Japan.
pubmed:publicationType
Journal Article, English Abstract, Case Reports