Sage Journals: Discover world-class research

Abstract

A patient with myxomatous mitral valve prolapse underwent mitral mitral valve repair due to severe symptomatic mitral regurgitation. Preoperative echocardiography demonstrated systolic anterior motion of the mitral valve. This finding disappeared once spontaneous chordal rupture occurred, resulting in a flail posterior mitral leaflet. As the patient was considered at high risk of developing post-repair SAM, he was operated on using surgical techniques aimed at lowering the risk of this complication. Despite this, post-repair SAM did develop and could only be eliminated by a surgical edge-to-edge (Alfieri) repair.

Keywords

Cardiac surgery echocardiography mitral valve valve repair

Get full access to this article

View all access options for this article.

References

Luckie

Khattar

. Systolic anterior motion of the mitral valve – beyond hypertrophic cardiomyopathy. Heart 2008; 94: 1383–1385.

Otto

Bonow

. Valvular heart disease. In: Bonow

Mann

Zipes

. (eds). Braunwald’s heart disease – a textbook of cardiovascular medicine. 9th ed. Philadelphia, PA: Elsevier, 2012, pp. 1467–1539.

Maslow

Regan

Haering

. Echocardiogrpahic predictors of left ventricular outflow tract obstruction and systolic anterior motion of the mitral valve after mitral valve reconstruction for myxomatous valve disease. J Am Coll Cardiol 1999; 34: 2096–2104.

Adams

Anyanwu

Rahmanian

. Large annuloplasty rings facilitate mitral valve repair in Barlow’s disease. Ann Thorac Surg 2006; 82: 2096–2101.

George

Gillinov

. Posterior leaflet shortening to prevent systolic anterior motion after mitral valve repair. Ann Thorac Surg 2008; 86: 1699–1700.

Kudo

Yozu

Kokaji

. A simple method of prevention for systolic anterior motion in mitral valve repair by loop technique method. Ann Thorac Surg 2009; 87: 324–325.

Suri

Burkhart

Schaff

. A novel method of leaflet reconstruction after triangular resection for posterior mitral valve prolapse. Ann Thorac Surg 2010; 89: 53–56.

Quigley

. Prevention of systolic anterior motion after repair of the severely myxomatous mitral valve with an anterior leaflet valvuloplasty. Ann Thorac Surg 2005; 80: 179–182.

Sternik

Zehr

. Systolic anterior motion of the mitral valve after mitral valve repair: a method of prevention. Tex Heart Inst J 2005; 32: 47–49.

10.

Crescenzi

Landoni

Zangrillo

. Management and decision-making strategy for systolic anterior motion after mitral valve repair. J Thorac Cardiovasc Surg 2009; 137: 320–325.

11.

Mascagni

Al Attar

Lamarra

. Edge-to-edge technique to treat post-mitral valve repair systolic anterior motion and left ventricular outflow tract obstruction. Ann Thorac Surg 2005; 79: 471–474.

12.

Brinster

Unic

D’Ambra

. Midterm results of the edge-to-edge technique for complex mitral valve repair. Ann Thorac Surg 2006; 81: 1612–1617.

13.

Maisano

La Canna

Colombo

. The evolution from surgery to percutaneous mitral valve interventions: the role of the edge-to-edge technique. J Am Coll Cardiol 2011; 58: 2174–2182.

Supplementary Material

Please find the following supplemental material available below.

For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.

For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.

0.00 MB