A Survival Case of Acute Mitral Regurgitation and Cardiogenic Shock Caused by Subtotal Occlusion of the First Diagonal Branch

• Published in: Circulation Journal Vol. 66; no. 6; pp. 615 - 618
• Main Authors: Takahashi, Tohru, Kohno, Koji, Kashida, Mitsuo, Morita, Toyohiko, Saito, Kiyoshi, Kamei, Akiko, Seo, Yujong, Kawamura, Itta, Kojima, Taro, Seki, Yutaka, Saito, Kan, Kumagai, Kenta, Ohno, Kunihiko, Tanaka, Yuriko, Itaoka, Yoshinori, Okazaki, Osamu, Izumo, Kazuhide, Kimura, Sosuke, Akatsuka, Nobuharu, Yazaki, Yoshio
• Format: Journal Article
• Language: English
• Published: Kyoto The Japanese Circulation Society 2002; Japanese Circulation Society
• Subjects: Acute mitral regurgitation; Aged; Aged, 80 and over; Anterior papillary muscle; Biological and medical sciences; Cardiology. Vascular system; Coma; Coronary Angiography; Coronary heart disease; Echocardiography, Transesophageal; Electrocardiography; Female; First diagonal branch; Heart; Humans; Medical sciences; Mitral Valve Insufficiency - etiology; Mitral Valve Insufficiency - surgery; Myocardial Infarction - complications; Myocardial Infarction - pathology; Myocardial Infarction - surgery; Papillary Muscles - pathology; Shock, Cardiogenic - etiology; Shock, Cardiogenic - surgery; Subtotal occlusion; Treatment Outcome; Human; Occlusion; Mitral valve; Pathophysiology; Acute; Papillary muscle; Coronary artery; Rupture; Cardiovascular disease; Exploration; Coronary heart disease; Survival; Arterial disease; Vascular disease; Case study; Treatment; Cardiac valvular disease; Heart disease; Cardiogenic shock; Mitral regurgitation; Complication; Diagnosis

An 80-year-old woman was admitted with cardiogenic shock; she arrived in a deep coma with systolic blood pressure of 44 mmHg. An electrocardiogram showed ST elevation in I, aVL, V5 and V6, suggesting myocardial infarction in the lateral area of the left ventricle. A chest roentgenogram showed right...