HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Jens T. Lund Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Jensen, M. B. Articles by Lund, J. T. Search for Related Content PubMed PubMed Citation Articles by Jensen, M. B. Articles by Lund, J. T. Related Collections Valve disease

---

Case Reports

Another Pitfall in Minimally Invasive Mitral Valve Repair

^a Department of Cardiothoracic Anesthesiology, The Heart Centre, Rigshospitalet, Copenhagen, University Hospital, Copenhagen, Denmark
^b Department of Cardiology, The Heart Centre, Rigshospitalet, Copenhagen, University Hospital, Copenhagen, Denmark
^c Department of Cardiothoracic Surgery, The Heart Centre, Rigshospitalet, Copenhagen, University Hospital, Copenhagen, Denmark

Accepted for publication June 27, 2007.

^_* Address correspondence to Dr Jensen, The Heart Centre, 4142, Blegdamsvej 9, Copenhagen, 2100, Denmark (Email: maikenjensen{at}dad/net.dk).

We report a case of severe systolic anterior motion (SAM) and dynamic left ventricular outflow obstruction after repair of a flail posterior leaflet of the mitral valve. The reason for SAM was found to be due to traction on the pericardial stay sutures placed to expose the surgical field. The SAM and the outflow obstruction were completely resolved by cutting these sutures. Our case demonstrates the contribution of geometric factors in the development of SAM and left ventricular outflow obstruction and emphasizes the need to evaluate the heart in its natural position within the mediastinum.