Perioperative Hypotension due to Systolic Anterior Motion of the Mitral Valve with Left Ventricular Outflow Track Obstruction during Off-Pump Coronary Artery Bypass Surgery: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 242-245, 2007.
Article
in Korean
| WPRIM
| ID: wpr-159519
ABSTRACT
Systolic anterior motion of the mitral valve (SAM) is well known in the concentric left ventricular hypertrophy or post mitral valvuloplasty. However, SAM has not been reported in Off-pump coronary artery bypass surgery (OPCAB). Preoperatively, SAM in combination with a left ventricular outflow tract obstruction leads to severe cardiovascular destabilization. Moreover, a diagnosis of SAM is very important because the administration of conventional therapy to hypotension can aggravate SAM. We report a patient with un-identified left ventricular wall hypertrophy or mitral valve regurgitation, who was diagnosed with SAM by TEE during OPCAB. This report describes the diagnostic and therapeutic strategies for the perioperative management of SAM.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Hypertrophy, Left Ventricular
/
Coronary Artery Bypass, Off-Pump
/
Diagnosis
/
Hypertrophy
/
Hypotension
/
Mitral Valve
/
Mitral Valve Insufficiency
Type of study:
Diagnostic study
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Anesthesiology
Year:
2007
Type:
Article
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