HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Alain Carpentier Fabien Doguet Alain Berrebi Ziad Khabbaz Jean-Noël Fabiani Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Zegdi, R. Articles by Fabiani, J.-N. Search for Related Content PubMed PubMed Citation Articles by Zegdi, R. Articles by Fabiani, J.-N. Related Collections Extracorporeal circulation Valve disease

J Thorac Cardiovasc Surg 2005;130:1453-1454
© 2005 The American Association for Thoracic Surgery

Brief Communication

Systolic anterior motion after mitral valve repair: An exceptional cause of late failure

^a Université René Descartes, Georges Pompidou European Hospital, Paris, France.
^b Department of Cardiovascular Surgery, Georges Pompidou European Hospital, Paris, France.

Received for publication January 15, 2005; accepted for publication March 24, 2005.

^_* Address for reprints: Rachid Zegdi, MD, PhD, Hôpital Européen Georges Pompidou, Service de Chirurgie Cardiovasculaire, 20 rue Leblanc, 75908 Paris, France. (Email: rzegdi@hotmail.com).

The first 20% of the full text of this article appears below.

With the increasing practice of mitral valve repair (MVR) worldwide, more and more surgeons will face cases of valve repair failure. Systolic anterior motion (SAM) is now an infrequent complication of MVR that may lead to early valve repair failure necessitating revision or valve replacement. However, previous studies have shown that most patients with SAM could be successfully managed with medical treatment. ¹ To the best of our knowledge, SAM as a cause of late valve repair failure necessitating reoperation has not been previously described.

We report here a case of SAM with left ventricular outflow tract obstruction and mitral regurgitation that did not regress under medical treatment and required a redo valve repair 8 years after the first operation.

Clinical Summary

A 48-year-old woman had been previously operated on for degenerative mitral regurgitation (Barlow disease) caused by posterior leaflet prolapse. She underwent a sliding plasty of the posterior leaflet along with a rigid annuloplasty ring (Carpentier-Edwards 32; Edwards Lifesciences, Irvine, Calif), after which transthoracic echocardiography (TTE) showed . . . [Full Text of this Article]

This article has been cited by other articles:

				M. Ibrahim, C. Rao, H. Ashrafian, U. Chaudhry, A. Darzi, and T. Athanasiou Modern management of systolic anterior motion of the mitral valve Eur J Cardiothorac Surg, January 18, 2012; (2012) ezr232v1. [Abstract] [Full Text] [PDF]

				S. M. Said, H. V. Schaff, R. M. Suri, K. L. Greason, J. A. Dearani, and R. A. Nishimura Bulging Subaortic Septum: An Important Risk Factor for Systolic Anterior Motion After Mitral Valve Repair Ann. Thorac. Surg., May 1, 2011; 91(5): 1427 - 1432. [Abstract] [Full Text] [PDF]

				G. Crescenzi, G. Landoni, A. Zangrillo, F. Guarracino, C. Rosica, G. La Canna, and O. Alfieri Management and decision-making strategy for systolic anterior motion after mitral valve repair. J. Thorac. Cardiovasc. Surg., February 1, 2009; 137(2): 320 - 325. [Abstract] [Full Text] [PDF]

				R. Zegdi, G. Sleilaty, C. Latremouille, A. Berrebi, A. Carpentier, A. Deloche, and J.-N. Fabiani Reoperation for Failure of Mitral Valve Repair in Degenerative Disease: A Single-Center Experience Ann. Thorac. Surg., November 1, 2008; 86(5): 1480 - 1484. [Abstract] [Full Text] [PDF]

				K. M. George and A. M. Gillinov Posterior Leaflet Shortening to Correct Systolic Anterior Motion After Mitral Valve Repair Ann. Thorac. Surg., November 1, 2008; 86(5): 1699 - 1700. [Abstract] [Full Text] [PDF]

				P.M. McCarthy, E.C. McGee, V.H. Rigolin, Q. Zhao, H. Subacius, A.L. Huskin, S. Underwood, B.J. Kane, I. Mikati, G. Gang, et al. Initial clinical experience with Myxo-ETlogix mitral valve repair ring J. Thorac. Cardiovasc. Surg., July 1, 2008; 136(1): 73 - 81. [Abstract] [Full Text] [PDF]

				M. L. Brown, M. D. Abel, R. L. Click, R. G. Morford, J. A. Dearani, T. M. Sundt, T. A. Orszulak, and H. V. Schaff Systolic anterior motion after mitral valve repair: Is surgical intervention necessary? J. Thorac. Cardiovasc. Surg., January 1, 2007; 133(1): 136 - 143. [Abstract] [Full Text] [PDF]