| Systolic anterior motion of the mitral valve despite the sliding leaflet technique for repair of the mitral valve. | |
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MedLine Citation:
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PMID: 16813107 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report a systolic anterior motion of the anterior mitral leaflet despite employing the sliding leaflet technique for repair of mitral valve regurgitation. A 65-year-old man with chronic, symptomatic mitral regurgitation due to ruptured chordae tendineae underwent mitral valve repair by quadrangular resection of the posterior leaflet and sliding leaflet technique with ring annuloplasty. After weaning from cardiopulmonary bypass, left ventricular outflow obstruction developed and transesophageal echocardiography demonstrated systolic anterior motion of the mitral valve and severe mitral regurgitation. Non-operative treatment resolved the outflow tract obstruction, systolic anterior motion and mitral regurgitation. We conclude that post-repair systolic anterior motion can still occur after the sliding plasty procedure and that medical treatment can successfully resolve systolic anterior motion and outflow tract obstruction in most patients. |
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Authors:
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Kozo Fukui; Masaharu Hatakeyama; Kazuo Ito; Masahito Minakawa; Yasuyuki Suzuki; Ikuo Fukuda |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai zasshi Volume: 54 ISSN: 1344-4964 ISO Abbreviation: Jpn. J. Thorac. Cardiovasc. Surg. Publication Date: 2006 Jun |
Date Detail:
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Created Date: 2006-07-03 Completed Date: 2006-08-01 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100884261 Medline TA: Jpn J Thorac Cardiovasc Surg Country: Japan |
Other Details:
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Languages: eng Pagination: 249-52 Citation Subset: IM |
Affiliation:
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Department of Thoracic and Cardiovascular Surgery, Hirosaki University Hospital, Aomori, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Cardiac Surgical Procedures / adverse effects*, methods Echocardiography, Transesophageal Humans Intraoperative Period Male Mitral Valve / surgery* Mitral Valve Insufficiency / etiology, surgery*, ultrasonography Suture Techniques* Ventricular Dysfunction, Left / ultrasonography Ventricular Outflow Obstruction / etiology, prevention & control, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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