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Surgical repair for systolic anterior motion of anterior mitral leaflet due to mitral annular calcification.
- Source :
-
General thoracic and cardiovascular surgery [Gen Thorac Cardiovasc Surg] 2022 Apr; Vol. 70 (4), pp. 398-401. Date of Electronic Publication: 2022 Jan 19. - Publication Year :
- 2022
-
Abstract
- Systolic anterior motion of the anterior mitral leaflet with anterior displacement of the coaptation site of the bi-leaflets due to mitral annular calcification on the posterior side, causing left ventricular outflow tract obstruction, is rare. We report the case of a 72-year-old woman with exertional dyspnea due to systolic anterior motion who underwent surgical repair to decalcify the mitral annular calcification and mitral valve repair. Hence, the systolic anterior motion, mitral valve regurgitation, and symptoms improved significantly. This report illustrates the novelty of surgical technique, the indication, and the limitation of mitral valve repair for such rare cases. A proper understanding of the mechanism in each patient and enhanced techniques for decalcification of posterior mitral annular calcification are needed to treat such complex cases.<br /> (© 2021. The Author(s), under exclusive licence to The Japanese Association for Thoracic Surgery.)
- Subjects :
- Aged
Female
Humans
Mitral Valve diagnostic imaging
Mitral Valve surgery
Systole
Calcinosis complications
Calcinosis diagnostic imaging
Calcinosis surgery
Heart Valve Diseases complications
Mitral Valve Insufficiency diagnostic imaging
Mitral Valve Insufficiency etiology
Mitral Valve Insufficiency surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1863-6713
- Volume :
- 70
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- General thoracic and cardiovascular surgery
- Publication Type :
- Academic Journal
- Accession number :
- 35043386
- Full Text :
- https://doi.org/10.1007/s11748-021-01760-9