Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, Guangdong, China.
Department of Echocardiography, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, Guangdong, China.
Ann Thorac Surg. 2021 Oct;112(4):e283-e286. doi: 10.1016/j.athoracsur.2020.08.092. Epub 2020 Nov 18.
A 51-year-old man was diagnosed with hypertrophic obstructive cardiomyopathy with left ventricular outflow tract obstruction at the subaortic and midventricular level combined with mitral systolic anterior motion and systolic anterior motion-related mitral regurgitation. The mildly thickened basal and nonthickened midventricular anteroseptum combined with the predominantly hypertrophic basal and midventricular inferoseptum made this case anatomically complex. Thoracoscopic transmitral myectomy plus fibrillation radiofrequency ablation were conducted to eliminate those lesions. The patient was discharged successfully and showed an improved hemodynamic and functional status at the 3-month follow-up.
一名 51 岁男性被诊断为肥厚型梗阻性心肌病，伴有左心室流出道梗阻，位于主动脉瓣下和室间隔中段，同时合并二尖瓣收缩期前向运动和收缩期前向运动相关的二尖瓣反流。基底段轻度增厚，室间隔中段无增厚，同时基底段和室间隔中下段以肥厚为主，使得该病例解剖结构复杂。采用胸腔镜下经二尖瓣切除术联合房颤射频消融术来消除这些病变。患者成功出院，在 3 个月随访时显示出血流动力学和功能状态的改善。
