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The Annals of Thoracic Surgery, Vol 57, 1328-1330, Copyright © 1994 by The Society of Thoracic Surgeons

ARTICLES

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

P Perier, T Hagen and J Stumpf
Herz und Gefass Klinik, 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 obstruction and the systolic anterior motion of the mitral valve.

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