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J Thorac Cardiovasc Surg 2002;124:395-397
© 2002 The American Association for Thoracic Surgery
Brief Communications |
From the Department of Cardiovascular Surgery, NTT East Corporation Sapporo Hospital,a Sapporo, the Department of Cardiovascular Surgery, Hokkaido University School of Medicine,b Sapporo, and the Division of Medical Sciences, Health Science University of Hokkaido,c Ishikari-Tobetsu, Japan.
Received for publication Dec 12, 2001. Accepted for publication Feb 5, 2001. Address for reprints: Yoshiro Matsui, MD, NTT East Corporation Sapporo Hospital, Department of Cardiovascular Surgery, S1W15 Chu-ku, Sapporo, Japan (E-mail: yoshirou_matsui@hokkaido.east.ntt.co.jp).
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Clinical summary
A 62-year-old man with dilated cardiomyopathy (DCM) was referred to our institution in August 2001. Since 1995, he has been treated with medication, including ß-blockers, for DCM with mild mitral and aortic regurgitation confirmed by endocardial biopsy. However, he had orthopnea (New York Heart Association class III) in May 2001, when echocardiography demonstrated an ejection fraction (EF) of 23% with severe mitral and moderate aortic and tricuspid regurgitation. In July 2001, he required direct-current shock to be resuscitated from an arrhythmia. Preoperative catheter laboratory study showed mean
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