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The Annals of Thoracic Surgery, Vol 57, 1338-1340, Copyright © 1994 by The Society of Thoracic Surgeons

ARTICLES

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

KS Lee, WJ Stewart, RM Savage, FD Loop and DM Cosgrove 3rd
Department of Cardiology, Cleveland Clinic Foundation, Ohio.

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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