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The Annals of Thoracic Surgery, Vol 57, 1338-1340, Copyright © 1994 by The Society of Thoracic Surgeons
KS Lee, WJ Stewart, RM Savage, FD Loop and DM Cosgrove 3rd
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.
ARTICLES
Systolic anterior motion of mitral valve after the posterior leaflet sliding advancement procedure
Department of Cardiology, Cleveland Clinic Foundation, Ohio.
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