Advertisement

Systolic Anterior Motion of the Mitral Valve

  • Narain Moorjani
  • Bushra S. Rana
  • Francis C. Wells
Chapter

Abstract

A 78 year-old female patient presented with a prolonged history of increasing dyspnoea on exertion. She had no history of rheumatic fever or infective endocarditis but was under serial echocardiography follow up with a known murmur.

Keywords

Systolic anterior motion (SAM) of the mitral valve Leaflet height reduction Gore-Tex neo-chordae Small annuloplasty ring Leaflet resection Left ventricular outflow tract obstruction Anterior displacement of the coaptation line Septal hypertrophy Annuloplasty band 

Recommended Reading

  1. Bothe W, Kvitting JP, Swanson JC, Goktepe S, Vo KN, Ingels NB, Miller DC. How do annuloplasty rings affect mitral leaflet dynamic motion? Eur J Cardiothorac Surg. 2010;38:340–9.CrossRefGoogle Scholar
  2. Crescenzi G, Landoni G, Zangrillo A, Guarracino F, Rosica C, La Canna G, Alfieri O. Management and decision-making strategy for systolic anterior motion after mitral valve repair. J Thorac Cardiovasc Surg. 2009;137:320–5.CrossRefGoogle Scholar
  3. Gersh BJ, Maron BJ, Bonow RO, Dearani JA, Fifer MA, Link MS, Naidu SS, Nishimura RA, Ommen SR, Rakowski H, Seidman CE, Towbin JA, Udelson JE, Yancy CW, American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. ACCF/AHA guideline for the diagnosis and treatment of hypertrophic cardiomyopathy: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Developed in collaboration with the American Association for Thoracic Surgery, American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Failure Society of America, Heart Rhythm Society, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. J Am Coll Cardiol. 2011;58:e212–60.CrossRefGoogle Scholar
  4. Hwang HJ, Choi EY, Kwan J, Kim SA, Shim CY, Ha JW, Rim SJ, Chung N, Kim SS. Dynamic change of mitral apparatus as potential cause of left ventricular outflow tract obstruction in hypertrophic cardiomyopathy. Eur J Echocardiogr. 2011;12:19–25.CrossRefGoogle Scholar
  5. Iacovoni A, Spirito P, Simon C, Iascone M, Di Dedda G, De Filippo P, Pentiricci S, Boni L, Senni M, Gavazzi A, Ferrazzi P. A contemporary European experience with surgical septal myectomy in hypertrophic cardiomyopathy. Eur Heart J. 2012;33:2080–7.CrossRefGoogle Scholar
  6. Maslow AD, Regan MM, Haering JM, Johnson RG, Levine RA. Echocardiographic predictors of left ventricular outflow tract obstruction and systolic anterior motion of the mitral valve after mitral valve reconstruction for myxomatous valve disease. J Am Coll Cardiol. 1999;34:2096–104.CrossRefGoogle Scholar
  7. Messmer BJ. Extended myectomy for hypertrophic obstructive cardiomyopathy. Ann Thorac Surg. 1994;58:575–7.CrossRefGoogle Scholar
  8. Quigley RL. Prevention of systolic anterior motion after repair of the severely myxomatous mitral valve with an anterior leaflet valvuloplasty. Ann Thorac Surg. 2005;80:179–82.CrossRefGoogle Scholar
  9. Seeburger J, Passage J, Borger MA, Mohr FW. A new concept for correction of systolic anterior motion and mitral valve regurgitation in patients with hypertrophic obstructive cardiomyopathy. J Thorac Cardiovasc Surg. 2010;140:481–3.CrossRefGoogle Scholar
  10. Varghese R, Itagaki S, Anyanwu AC, Trigo P, Fischer G, Adams DH. Predicting systolic anterior motion after mitral valve reconstruction: using intraoperative transesophageal echocardiography to identify those at greatest risk. Eur J Cardiothorac Surg. 2014;45:132–47.CrossRefGoogle Scholar
  11. Vriesendorp PA, Schinkel AF, Soliman OI, Kofflard MJ, de Jong PL, van Herwerden LA, Ten Cate FJ, Michels M. Long-term benefit of myectomy and anterior mitral leaflet extension in obstructive hypertrophic cardiomyopathy. Am J Cardiol. 2015;115:670–5.CrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Ltd., part of Springer Nature 2018

Authors and Affiliations

  • Narain Moorjani
    • 1
  • Bushra S. Rana
    • 2
  • Francis C. Wells
    • 1
  1. 1.Department of Cardiothoracic SurgeryRoyal Papworth HospitalCambridgeUK
  2. 2.Department of CardiologyRoyal Papworth HospitalCambridgeUK

Personalised recommendations