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Ann Thorac Surg 1994;57:1328-1330
© 1994 The Society of Thoracic Surgeons

Articles

Septal myectomy for left ventricular outflow tract obstruction after mitral valve repair

Patrick Perier, MD*, Thomas Hagen, MD, Jürgen Stumpf, MD

Herz und Gefäss Klinik, Bad Neustadt/Saale, Germany

Accepted for publication August 2, 1993.

* Address reprint requests to Dr Perier, Herz und Gefäss Klinik, Salzburger Leite 1, 97616 Bad Neustadt/Saale, Germany.

We describe a patient with a left ventricular outflow tract obstruction after mitral valve repair. Intraoperative transesophageal echocardiography permitted us to recognize the role of a bulging septum in the development of a systolic motion of the mitral valve. A left ventricular septal myectomy and myotomy was able to relieve the left ventricular outflow tract abstruction and the systolic anterior motion of the mitral valve.




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