Hypertrophic obstructive cardiomyopathy in combination with anomalous insertion of papillary muscle directly into anterior mitral leaflet and "sawfish" systolic narrowing of the left anterior descending coronary artery

This report describes an unusual case of subaortic stenosis in which hypertrophic obstructive cardiomyopathy was found in combination with both anomalous insertion of papillary muscle directly into the anterior mitral leaflet and "sawfish" systolic narrowing of the left anterior descending...

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Bibliographic Details
Published in:Texas Heart Institute journal 1994, Vol.21 (4), p.317-320
Main Authors: Taşdemir, O, Küçükaksu, D S, Kural, T, Bayazit, K
Format: Article
Language:English
Subjects:
Adult
Cardiomyopathy, Hypertrophic - complications
Cardiomyopathy, Hypertrophic - diagnostic imaging
Cardiomyopathy, Hypertrophic - surgery
Constriction, Pathologic
Coronary Angiography
Coronary Vessels - pathology
Heart Valve Prosthesis
Humans
Male
Mitral Valve - abnormalities
Mitral Valve - surgery
Papillary Muscles - abnormalities
Papillary Muscles - surgery
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Summary:This report describes an unusual case of subaortic stenosis in which hypertrophic obstructive cardiomyopathy was found in combination with both anomalous insertion of papillary muscle directly into the anterior mitral leaflet and "sawfish" systolic narrowing of the left anterior descending coronary artery. Definitive diagnosis was made on operation. We freed the left anterior descending coronary artery by incising the muscular bridge, resected both papillary muscles, and replaced the mitral valve.
ISSN:0730-2347