Published in:
Open Access
01-06-2014 | Clinical Report
Preoperative morphological analysis by transesophageal echocardiography and predictive value of plasma landiolol concentration during systolic anterior motion mitral valve repair : a report of three cases
Authors:
Manabu Yoshimura, Takayuki Kunisawa, Takafumi Iida, Megumi Matsumoto, Hayato Takakai, Hirotsugu Kanda, Atsushi Kurosawa, Osamu Takahata, Hiroshi Iwasaki
Published in:
Journal of Anesthesia
|
Issue 3/2014
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Abstract
We report three cases with systolic anterior motion (SAM) after mitral valve plasty. Preoperative mitral valve morphology is a risk factor for SAM. The morphological characteristics of SAM have been revealed in several studies. We found a small distance between coaptation and the interventricular septum in all cases, and cases 2, and 3 had a low AL/PL ratio, whereas case 3 had a large PML, which was revealed by transesophageal echocardiography. With the use of 3D transesophageal echocardiography, when mitral valve prolapse was investigated, in all three cases, it was easy to specify lesions. The issue for the future is 3D analysis when SAM is occurring.