Abstract
Most patients with obstructive hypertrophic cardiomyopathy present with mitral regurgitation due to sistolic anterior movement of the anterior mitral leaflet. In most cases, isolated septal myectomy solves the left ventricle outflow tract obstruction and the mitral regurgitation. However, some of these patients have instrinsec lesions of the mitral valve requiring concomitant repair. We present the case of a young man with obstructive hypertrophic cardiomyopathy and posterior leaflet prolapse due to rupture of chordae tendineae.
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