CASE REPORTS   

Chirurgia 2016 October;29(5):178-80

Copyright © 2016 EDIZIONI MINERVA MEDICA

lingua: Inglese

Off-pump coronary artery bypass grafting, an unusual cause of systolic anterior motion of the mitral valve

Yukio UMEDA ¹, Yukihiro MATSUNO ¹, Yoshio MORI ¹, Ayako HONDA ², Miki IIDA ², Maya ISHIGURO ³, Takashi YOSHIZANE ³, Toshiyuki NODA ³, Hiroshi TAKIYA ¹

¹ Department of Cardiovascular Surgery, Gifu Prefectural General Medical Center, Gifu, Japan; ² Department of Anesthesiology, Gifu Prefectural General Medical Center, Gifu, Japan; ³ Department of Cardiology, Gifu Prefectural General Medical Center, Gifu, Japan

We present a case of systolic anterior motion of the mitral valve (SAM) in a 73-year-old woman who underwent an uneventful off-pump coronary artery bypass grafting (OPCAB). SAM, left ventricular outlet obstruction (LVOTO), and mitral regurgitaion (MR) were deteriorated by Valsalva maneuver and improved by carvedilol in dose-dependent manner.