title: Septal myectomy for left ventricular outflow tract obstruction after mitral valve repair.
abstract: We describe a patient with a left ventricular outflow tract obstruction after mitral valve repair. Intraoperative transesophageal echocardiography permitted us to recognize the role of a bulging septum in the development of a systolic motion of the mitral valve. A left ventricular septal myectomy and myotomy was able to relieve the left ventricular outflow tract obstruction and the systolic anterior motion of the mitral valve.
authors.affiliation: Herz und Gefäss Klinik, Bad Neustadt/Saale, Germany.
authors.forename: P
authors.initials: P
authors.lastname: Perier
authors.forename: T
authors.initials: T
authors.lastname: Hagen
authors.forename: J
authors.initials: J
authors.lastname: Stumpf
mesh_terms: D006346:Heart Septum / Q000601:surgery*; D006352:Heart Ventricles / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D008945:Mitral Valve Prolapse / Q000601:surgery; D011183:Postoperative Complications; D014694:Ventricular Outflow Obstruction / Q000209:etiology* / Q000601:surgery*