Anomalies of the mitral valve apparatus in hypertrophic cardiomyopathy are an important cause of systolic anterior motion. Patients with significant residual obstruction due to systolic anterior motion after myectomy and anterior mitral leaflet plication may end up having mitral valve replacement. We describe the case of a 52-year-old man who underwent posterior mitral leaflet plication to correct residual systolic anterior motion after anterior mitral leaflet plication.
VarmaPKNeemaPK. Hypertrophic cardiomyopathy. Part 1 - introduction, pathology and pathophysiology. Ann Card Anaesth2014; 17: 118–124.
2.
SwistelDGBalaramSK. Surgical myectomy for hypertrophic cardiomyopathy in the 21st century, the evolution of the “RPR” repair: resection, plication, and release. Prog Cardiovasc Dis2012; 54: 498–502.
3.
GutermannHPettinariMVan-KerrebroeckCet al.Myectomy and mitral repair through the left atrium in hypertrophic obstructive cardiomyopathy: the preferred approach for contemporary surgical candidates?J Thorac Cardiovasc Surg2014; 147: 1833–1836.
