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Published in: Journal of Anesthesia 3/2014

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.
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Metadata
Title
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
Publication date
01-06-2014
Publisher
Springer Japan
Published in
Journal of Anesthesia / Issue 3/2014
Print ISSN: 0913-8668
Electronic ISSN: 1438-8359
DOI
https://doi.org/10.1007/s00540-013-1731-4

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