Rescigno Giuseppe, Cecconi Moreno, Matteucci Marco L S, Domenella Paola, Münch Christopher, Iacobone Gianfranco
Cardiovascular Department, Ospedali Riuniti, Ancona, Italy.
J Heart Valve Dis. 2006 Jul;15(4):512-4.
A rare case of systolic anterior motion (SAM) after mitral valve repair is described. A temporary postoperative left ventricular (LV) dysfunction protected against this complication during the early postoperative period. Only on day 9 postoperatively did the left ventricle recover and SAM develop, with significant obstruction of the LV outflow tract. Subsequently, mitral valve replacement was required. This case demonstrates the importance of the LV geometrical relationships that predispose to this complication.
本文描述了二尖瓣修复术后罕见的收缩期前向运动（SAM）病例。术后早期出现的暂时性左心室（LV）功能障碍预防了该并发症的发生。仅在术后第9天，左心室恢复正常后SAM才出现，并伴有左心室流出道严重梗阻。随后，需要进行二尖瓣置换术。该病例证明了易于引发此并发症的左心室几何关系的重要性。
