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Published in: Journal of Echocardiography 4/2012

01-12-2012 | Case Report

Systolic anterior motion of the mitral valve and severe mitral regurgitation immediately after transcatheter aortic valve replacement

Authors: Yasuharu Takeda, Satoshi Nakatani, Toru Kuratani, Isamu Mizote, Yasushi Sakata, Kei Torikai, Kazuo Shimamura, Shinsuke Nanto, Issei Komuro, Yoshiki Sawa

Published in: Journal of Echocardiography | Issue 4/2012

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Abstract

We report a high-risk patient with severe symptomatic aortic stenosis who showed systolic anterior motion of the mitral valve (SAM) and severe mitral regurgitation immediately after transcatheter aortic valve replacement (TAVR). The patient did not have either SAM or mitral regurgitation, but showed significant septal hypertrophy on preoperative transthoracic echocardiography which could be associated with the occurrence of SAM. Caution should be exercised in patients with significant interventricular septal hypertrophy before TAVR.
Literature
1.
go back to reference Leon MB, Smith CR, Mack M, Miller DC, Moses JW, Svensson LG, et al. Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery. N Engl J Med. 2010;363:1597–607.PubMedCrossRef Leon MB, Smith CR, Mack M, Miller DC, Moses JW, Svensson LG, et al. Transcatheter aortic-valve implantation for aortic stenosis in patients who cannot undergo surgery. N Engl J Med. 2010;363:1597–607.PubMedCrossRef
2.
go back to reference Thomas M, Schymik G, Walther T, Himbert D, Lefèvre T, Treede H, et al. One-year outcomes of cohort 1 in the Edwards SAPIEN Aortic Bioprosthesis European Outcome (SOURCE) registry: the European registry of transcatheter aortic valve implantation using the Edwards SAPIEN valve. Circulation. 2011;124:425–33.PubMedCrossRef Thomas M, Schymik G, Walther T, Himbert D, Lefèvre T, Treede H, et al. One-year outcomes of cohort 1 in the Edwards SAPIEN Aortic Bioprosthesis European Outcome (SOURCE) registry: the European registry of transcatheter aortic valve implantation using the Edwards SAPIEN valve. Circulation. 2011;124:425–33.PubMedCrossRef
3.
go back to reference Laurent M, Leborgne O, Clement C, Foulgoc JL, Le Helloco A, Almange C, et al. Systolic intra-cavitary gradients following aortic valve replacement: an echo-Doppler study. Eur Heart J. 1991;12:1098–106.PubMed Laurent M, Leborgne O, Clement C, Foulgoc JL, Le Helloco A, Almange C, et al. Systolic intra-cavitary gradients following aortic valve replacement: an echo-Doppler study. Eur Heart J. 1991;12:1098–106.PubMed
4.
go back to reference Bartunek J, Sys SU, Rodrigues AC, van Schuerbeeck E, Mortier L, de Bruyne B. Abnormal systolic intraventricular flow velocities after valve replacement for aortic stenosis. Mechanisms, predictive factors, and prognostic significance. Circulation. 1996;93:712–9.PubMedCrossRef Bartunek J, Sys SU, Rodrigues AC, van Schuerbeeck E, Mortier L, de Bruyne B. Abnormal systolic intraventricular flow velocities after valve replacement for aortic stenosis. Mechanisms, predictive factors, and prognostic significance. Circulation. 1996;93:712–9.PubMedCrossRef
5.
go back to reference Routledge T, Nashef SA. Severe mitral systolic anterior motion complicating aortic valve replacement. Interact Cardiovasc Thorac Surg. 2005;4:486–7.PubMedCrossRef Routledge T, Nashef SA. Severe mitral systolic anterior motion complicating aortic valve replacement. Interact Cardiovasc Thorac Surg. 2005;4:486–7.PubMedCrossRef
6.
go back to reference Kerut EK, Hanawalt C, Dearstine M, Frank R, Everson C. Mitral systolic anterior motion (SAM) with dynamic left ventricular outflow obstruction following aortic valve replacement. Echocardiography. 2007;24:658–60.PubMedCrossRef Kerut EK, Hanawalt C, Dearstine M, Frank R, Everson C. Mitral systolic anterior motion (SAM) with dynamic left ventricular outflow obstruction following aortic valve replacement. Echocardiography. 2007;24:658–60.PubMedCrossRef
Metadata
Title
Systolic anterior motion of the mitral valve and severe mitral regurgitation immediately after transcatheter aortic valve replacement
Authors
Yasuharu Takeda
Satoshi Nakatani
Toru Kuratani
Isamu Mizote
Yasushi Sakata
Kei Torikai
Kazuo Shimamura
Shinsuke Nanto
Issei Komuro
Yoshiki Sawa
Publication date
01-12-2012
Publisher
Springer Japan
Published in
Journal of Echocardiography / Issue 4/2012
Print ISSN: 1349-0222
Electronic ISSN: 1880-344X
DOI
https://doi.org/10.1007/s12574-012-0144-y

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