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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


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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.

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