Journal of anesthesia · 2013
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.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Yoshimura Manabu, Kunisawa Takayuki, Iida Takafumi, Matsumoto Megumi, Takakai Hayato, Kanda Hirotsugu, Kurosawa Atsushi, Takahata Osamu, Iwasaki Hiroshi
Аннотация
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.