Left ventricular apical aneurysm resection and mitral valve replacement for apical hypertrophic cardiomyopathy

Hironobu Nishiori; Hiroyuki Watanabe; Yuichi Hirano; Masayoshi Otsu

doi:10.1002/ccr3.7974

Left ventricular apical aneurysm resection and mitral valve replacement for apical hypertrophic cardiomyopathy

Clin Case Rep. 2023 Sep 28;11(10):e7974. doi: 10.1002/ccr3.7974. eCollection 2023 Oct.

Authors

Hironobu Nishiori¹, Hiroyuki Watanabe¹, Yuichi Hirano¹, Masayoshi Otsu¹

Affiliation

¹ Division of Cardiovascular Surgery Narita Red Cross Hospital Chiba Japan.

Abstract

Key clinical message: Left ventricular apical hypertrophic cardiomyopathy with an apical aneurysm carries a risk of thrombosis and can also lead to atrial fibrillation and functional mitral regurgitation.

Abstract: A 78-year-old woman underwent left ventricular apical aneurysm (LVAA) resection and mitral valve replacement for severe atrial functional mitral regurgitation. ApHCM can cause atrial fibrillation and atrial functional mitral valve regurgitation. LVAA resection in addition to mitral valve replacement was reasonable to prevent fatal complications associated with LVAA.

Keywords: apical hypertrophic cardiomyopathy; atrial functional mitral regurgitation; left ventricular apical aneurysm.

Publication types

Case Reports