에르고노빈 심초음파로 확진된 승모판 폐쇄부전을 유발한 혈관연축 1예
Severe Mitral Regurgitation Due to Coronary Vasospasm, Confirmed by Ergonovine Echocardiography
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초록
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.
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.
참고문헌 (10)
- American College of Cardiology, "ACC", AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology, Circulation, pp.2006, 114[DOI]
- Song JK, "Prognostic implication of ergonovine echocardiography in patients with near normal coronary angiogram or negative stress test for significant fixed stenosis", J Am Soc Echocardiogr, 15, pp.1346~1352 (2002)
- Saito H, "Simultaneous multivessel coronary spasm causing acute myocardial infarction: a case report", Angiology, 58, pp.112~117 (2007)
- Kim PJ, "Clinical and angiographic characteristics of acute myocardial infarction caused by vasospastic angina without organic coronary heart disease", Circ J, 71, pp.1383~1386 (2007)
- Beltrame JF, "Racial heterogeneity in coronary artery vasomotor reactivity: differences between Japanese and Caucasian patients", J Am Coll Cardiol, 33, pp.1442~1452 (1999)
- Pristipino C, "Major racial differences in coronary constrictor response between japanese and caucasians with recent myocardial infarction", Circulation, 101, pp.1102~1108 (2000)
- Heupler FA Jr, "Ergonovine maleate provocative test for coronary arterial spasm", Am J Cardiol, 41, pp.631~640 (1978)
- Hamilton KK, "A renaissance of provocative testing for coronary spasm?", J Am Coll Cardiol, 35, pp.1857~1859 (2000)
- Coma-Canella I, "Ergonovine test in angina with normal coronary arteries. Is it worth doing it?", Int J Cardiol, 107, pp.200~206 (2006)
- Kim MH, "Role of vasospasm in acute coronary syndrome: insights from ergonovine stress echocardiography", Circ J, 69, pp.39~43 (2005)