Journal of Yeungnam Medical Science

Yeungnam University College of Medicine, Yeungnam University Institute Medical Science (영남대 의대 학술지 편집위원회)
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Severe Mitral Regurgitation Due to Coronary Vasospasm, Confirmed by Ergonovine Echocardiography

에르고노빈 심초음파로 확진된 승모판 폐쇄부전을 유발한 혈관연축 1예

  • Cha, Jung-Joon (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Kyung, Chan Hee (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Cho, Jang Ho (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Kim, Yong Hoon (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Kim, Haewon (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Lee, Sung-Joo (Division of Cardiology, Department of Internal Medicine, Chungju Medical Center) ;
  • Rim, Se-Joong (Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Choi, Eui-Young (Department of Internal Medicine, Yonsei University College of Medicine)
  • 차정준 (연세대학교 의과대학 내과학교실) ;
  • 경찬희 (연세대학교 의과대학 내과학교실) ;
  • 조장호 (연세대학교 의과대학 내과학교실) ;
  • 김용훈 (연세대학교 의과대학 내과학교실) ;
  • 김혜원 (연세대학교 의과대학 내과학교실) ;
  • 이성주 (충주의료원 심장내과) ;
  • 임세중 (연세대학교 의과대학 내과학교실) ;
  • 최의영 (연세대학교 의과대학 내과학교실)
  • Received : 2013.06.02
  • Accepted : 2013.07.09
  • Published : 2013.12.31
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Abstract

The common causes of organic mitral regurgitation (MR) include mitral valve prolapse (MVP) syndrome, rheumatic heart disease, and endocarditis. MR also occurs secondary to dilated cardiomyopathy and coronary artery disease. In acute severe MR, the hemodynamic overload often cannot be tolerated, and mitral valve repair or replacement must be performed immediately. We report herein a case of severe MR due to coronary vasospasm that was confirmed via ergonovine echocardiography in a 70-year-old man. He was scheduled to undergo mitral valve surgery, but it did not push through and he was put on medical therapy.

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