title: Delayed systolic anterior motion after mitral valve repair.
abstract: A rare case of systolic anterior motion (SAM) after mitral valve repair is described. A temporary postoperative left ventricular (LV) dysfunction protected against this complication during the early postoperative period. Only on day 9 postoperatively did the left ventricle recover and SAM develop, with significant obstruction of the LV outflow tract. Subsequently, mitral valve replacement was required. This case demonstrates the importance of the LV geometrical relationships that predispose to this complication.
authors.affiliation: Cardiovascular Department, Ospedali Riuniti, Ancona, Italy. grescigno@libero.it
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Rescigno
authors.forename: Moreno
authors.initials: M
authors.lastname: Cecconi
authors.forename: Marco L S
authors.initials: ML
authors.lastname: Matteucci
authors.forename: Paola
authors.initials: P
authors.lastname: Domenella
authors.forename: Christopher
authors.initials: C
authors.lastname: Münch
authors.forename: Gianfranco
authors.initials: G
authors.lastname: Iacobone
mesh_terms: D000368:Aged; D006348:Cardiac Surgical Procedures / Q000379:methods; D004452:Echocardiography; D017548:Echocardiography, Transesophageal; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D007902:Length of Stay; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D008945:Mitral Valve Prolapse / Q000503:physiopathology / Q000601:surgery; D009038:Motion; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology*; D012086:Reoperation; D013599:Systole / Q000502:physiology*; D013997:Time Factors; D016896:Treatment Outcome; D014694:Ventricular Outflow Obstruction / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*