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The Annals of Thoracic Surgery, Vol 57, 484-486, Copyright © 1994 by The Society of Thoracic Surgeons
JP Kupferschmid, T Carr, GP Connelly and RJ Shemin
A 78-year-old woman underwent mitral reconstruction, consisting of a
quadrangular posterior leaflet resection without a concomitant annular
ring, for symptomatic mitral regurgitation. Postoperatively she became
hypotensive while being treated with dopamine. Transesophageal
echocardiography revealed systolic anterior motion of the mitral valve with
significant mitral regurgitation. With discontinuation of the dopamine
regimen, institution of phenylephrine administration, and volume loading of
the ventricle the systolic anterior motion disappeared as did the mitral
regurgitation. The patient recovered uneventfully.
ARTICLES
Systolic anterior motion of the mitral valve after valve repair without an annular ring
Department of Cardiothoracic Surgery, University Hospital, Boston University Medical Center, MA 02118.
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A. M. Gillinov and D. M. Cosgrove III Mitral Valve Repair Card. Surg. Adult, January 1, 2003; 2(2003): 933 - 950. [Full Text] |
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