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Ann Thorac Surg 1994;57:1338-1340
© 1994 The Society of Thoracic Surgeons

Articles

Systolic anterior motion of mitral valve after the posterior leaflet sliding advancement procedure

Kamthorn S. Lee, MD, William J. Stewart, MD*, Robert M. Savage, MD, Floyd D. Loop, MD, Delos M. Cosgrove, III, MD

Departments of Cardiology and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, Ohio, USA

Accepted for publication August 18, 1993.

* Address reprint requests to Dr Stewart, Desk F15, Cardiology, The Cleveland OH Foundation, 9500 Euclid Ave, Cleveland, OH 44195.

The posterior leaflet sliding advancement procedure was developed to prevent the occurrence of systolic anterior motion of mitral valve and consequently outflow obstruction after mitral annuloplasty. We present a patient with extremely redundant posterior mitral leaflet in whom outflow obstruction developed despite employment of this procedure. This case underscores the utility of preoperative and intraoperative echocardiography in surgical decision making. Systolic anterior motion can develop in some patients despite this new surgical technique.




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