Morris Andrew L, Ibrahim Moheb
Section of Cardiology, University of Manitoba Faculty of Medicine, Winnipeg, Manitoba R2H 2A6, Canada.
Can J Cardiol. 2009 Jul;25(7):e259-60. doi: 10.1016/s0828-282x(09)70516-1.
A 63-year-old woman with hypertrophic obstructive cardiomyopathy developed rapidly progressive fatigue, shortness of breath and congestive heart failure. A transesophageal echocardiogram demonstrated ruptured chordae to the posterior mitral valve leaflet with severe mitral regurgitation. Mitral valve replacement eliminated the outflow gradient. Acute or subacute hemodynamic deterioration in a patient with hypertrophic obstructive cardiomyopathy should lead to a search for associated lesions.