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Title of Journal: Gen Thorac Cardiovasc Surg

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Abbravation: General Thoracic and Cardiovascular Surgery

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Springer Japan

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DOI

10.1007/s12678-011-0064-z

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ISSN

1863-6713

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Myectomy as an alternative solution for systolic a

Authors: Satoru Domoto Kozo Morita Hiroyuki Koike Atsushi Iguchi Kazuhiko Uwabe Hiroshi Niinami
Publish Date: 2013/12/03
Volume: 64, Issue: 1, Pages: 31-33
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Abstract

Systolic anterior motion SAM of the mitral apparatus is a relatively frequent complication of mitral valve repair When significant SAM persists despite intraoperative medical therapies a second repair is generally required We describe a rare case of SAM due to a hypertrophic septum in a patient who underwent mitral valve repair with no preoperative obstruction of the left ventricular outflow tract The present case of SAM was successfully treated only with transaortic septal myectomy Therefore myectomy might be considered as an alternative solution for SAM that is suspected to be caused by a hypertrophic septum after mitral valve repair

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