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Ann Thorac Surg 1993;55:1013-1014
© 1993 The Society of Thoracic Surgeons

Articles

Systolic anterior motion of the mitral valve after mitral valve repair without a ring

Kiyoyuki Eishi, MD*, Kouhei Kawazoe, MD, Yasunaru Kawashima, MD

Division of Cardiovascular Surgery, National Cardiovascular Center of Japan, Osaka, Japan

Accepted for publication June 17, 1992.

* Address reprint requests to Dr Eishi, Division of Cardiovascular Surgery, National Cardiovascular Center of Japan, 5-7-1 Fujishiro-dai, Suita, Osaka 565, Japan.

We report a case of systolic anterior motion of the mitral valve after mitral reconstruction without a semirigid mitral annular ring. A 56-year-old man with mitral regurgitation due to ruptured chordae tendineae underwent mitral valve reconstruction by replacement of chordae tendineae, leaflet excision, and suture annuloplasty without an annular ring. Postoperatively, left ventricular outflow tract obstruction developed and echocardiography revealed systolic anterior motion of the mitral valve. These findings disappeared after medication with a β-blocking drug.




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