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Ann Thorac Surg 2010;89:1287-1288. doi:10.1016/j.athoracsur.2009.08.061
© 2010 The Society of Thoracic Surgeons
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Teruya Nakamura
Jun Kawamoto
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Case Reports

Transaortic Correction of Systolic Anterior Motion of the Mitral Leaflet After Aortic and Mitral Valve Replacement

Teruya Nakamura, MD*, Takanori Shibukawa, MD, Jun Kawamoto, MD, Shingo Mochiduki, MD

Division of Cardiovascular Surgery, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, Kure, Japan

Accepted for publication August 25, 2009.

* Address correspondence to Dr Nakamura, Division of Cardiovascular Surgery, NHO Kure Medical Center, 3-1 Aoyama-Cho, Kure, 737-0023, Japan (Email: teruyan{at}kure-nh.go.jp).

Left ventricular outflow tract obstruction is a rare and critical complication after mitral valve replacement. We report a patient who presented with severe left ventricular outflow tract obstruction caused by systolic anterior motion of the native mitral leaflet after aortic and mitral valve replacement. The patient was successfully treated by resection of the anterior mitral leaflet through the 19-mm bioprosthetic valve in the aortic position. This approach is quite simple and effective, even through the small aortic bioprosthesis, and does not require a second mitral valve replacement.




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 Eur J Cardiothorac SurgHome page
M. Ibrahim, C. Rao, H. Ashrafian, U. Chaudhry, A. Darzi, and T. Athanasiou
Modern management of systolic anterior motion of the mitral valve
Eur J Cardiothorac Surg, June 1, 2012; 41(6): 1260 - 1270.
[Abstract] [Full Text] [PDF]


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