JTCS Medtronic Endurant
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Kiyohito Yamamoto
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Ito, H.
Right arrow Articles by Hiraiwa, T.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Ito, H.
Right arrow Articles by Hiraiwa, T.
Related Collections
Right arrow Congestive Heart Failure
Right arrow Valve disease

J Thorac Cardiovasc Surg 2007;134:1583-1584
© 2007 The American Association for Thoracic Surgery

Brief Communication

Dilated cardiomyopathy and functional mitral regurgitation complicated with traumatic ventricular septal defect

Hisato Ito, MD*, Kiyohito Yamamoto, MD, Takane Hiraiwa, MD

Division of Cardiovascular Surgery, Hamamatsu Medical Center, Shizuoka, Japan.

Received for publication July 31, 2007; accepted for publication August 7, 2007.

* Address for reprints: Hisato Ito, MD, Division of Cardiovascular Surgery, Hamamatsu Medical Center, 328 Nakaku Tomitsuka, Hamamatsu, Shizuoka 432-8580, Japan. (Email: hisato.ito@gmail.com).

The first 20% of the full text of this article appears below.


Figure 1
Drs Hiraiwa, Yamamoto, and Ito (left to right)


We report a case of dilated cardiomyopathy (DCM) and functional mitral regurgitation (MR) complicated with a traumatic ventricular septal defect (VSD), which was managed by means of intracardiac left ventricular restoration (LVR)1Go and VSD closure 40 years after blunt chest trauma.

Clinical Summary

A 66-year-old man presented with a clinical finding of severe heart failure. He had sustained blunt chest and abdominal trauma in a motor vehicle collision, followed by an emergency laparotomy, at the age of 26 years. He had been in good health until he was 49 years old, when he had recurrent episodes of palpitation and chest discomfort. Precordial examination disclosed a 3/6 holosystolic murmur, which had not been heard before. Left ventriculographic analysis revealed a muscular VSD and akinetic anteroseptal wall. He was medically treated because the left-to-right shunt was relatively small, with a 1.39 pulmonary/systemic flow ratio (Qp/Qs). His clinical condition remained satisfactory until the age of 59 years, when he started to . . . [Full Text of this Article]






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2007 by The American Association for Thoracic Surgery.