Rescue surgical embolectomy for fatal pulmonary embolism in patient with intracranial hemorrhage |
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Authors: | Fukuda Ikuo Fukui Kozo Minakawa Masahito Koyama Masayuki Ichinoseki Ikko Suzuki Yasuyuki |
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Institution: | a Department of Surgery, Hirosaki University School of Medicine, Hirosaki, Aomori, Japan b Department of Cardiovascular Surgery, Tsukuba Medical Center, Tsukuba, Ibaraki, Japan |
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Abstract: | Left ventricular outflow obstruction may result from preserving the anterior leaflet after mitral valve replacement. A 79-year-old woman, who had a mitral valve replacement with the native mitral leaflets left intact 16 years before, was admitted to our hospital with severe dyspnea due to heart failure. Echocardiography showed systolic anterior motion of preserved anterior mitral leaflet, and continuous wave Doppler detected severe left ventricular outflow tract jets during systole without mitral chordal rupture. Surgical incising of the anterior mitral leaflet through the aortic root relieved the obstruction without removing the prosthetic mitral valve. |
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Keywords: | 26 |
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