Triple Threat: Significant Concomitant Aortic Stenosis, Mitral Stenosis, and Systolic Anterior Motion of the Mitral Valve Causing Left Ventricular Outflow Tract Obstruction in Cardiac Surgical Patients
Systolic anterior motion (SAM) describes a pathologic condition of the mitral valve in which the anterior leaflet is displaced anteriorly, resulting in a narrowed left ventricular outflow tract (LVOT). The implications of SAM may range in severity from clinically insignificant disease to severe LVOT...
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2023/9995115 |
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| author | Katelyn Glines J. W. Awori Hayanga Christina Gibson Mohamad El Churafa Lawrence Wei Heather K. Hayanga |
| author_facet | Katelyn Glines J. W. Awori Hayanga Christina Gibson Mohamad El Churafa Lawrence Wei Heather K. Hayanga |
| author_sort | Katelyn Glines |
| collection | DOAJ |
| description | Systolic anterior motion (SAM) describes a pathologic condition of the mitral valve in which the anterior leaflet is displaced anteriorly, resulting in a narrowed left ventricular outflow tract (LVOT). The implications of SAM may range in severity from clinically insignificant disease to severe LVOT obstruction resulting in hemodynamic collapse. While SAM is typically observed in patients with hypertrophic cardiomyopathy or following mitral valve repair, it may be seen in any setting in which the anatomy and function of the left ventricle has been altered. Here we discuss two patients who presented for aortic and mitral valve replacements for concomitant aortic and mitral stenosis. These cases were further complicated by the preoperative diagnosis of SAM in addition to the preexisting valvular lesions, further increasing the risk of sudden hemodynamic collapse and cardiac arrest. |
| format | Article |
| id | doaj-art-8fe98add63f0422ba726d554ca70f4da |
| institution | Kabale University |
| issn | 2090-6390 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-8fe98add63f0422ba726d554ca70f4da2025-02-03T06:42:42ZengWileyCase Reports in Anesthesiology2090-63902023-01-01202310.1155/2023/9995115Triple Threat: Significant Concomitant Aortic Stenosis, Mitral Stenosis, and Systolic Anterior Motion of the Mitral Valve Causing Left Ventricular Outflow Tract Obstruction in Cardiac Surgical PatientsKatelyn Glines0J. W. Awori Hayanga1Christina Gibson2Mohamad El Churafa3Lawrence Wei4Heather K. Hayanga5West Virginia University HospitalsWest Virginia University HospitalsWest Virginia University HospitalsWest Virginia University HospitalsWest Virginia University HospitalsWest Virginia University HospitalsSystolic anterior motion (SAM) describes a pathologic condition of the mitral valve in which the anterior leaflet is displaced anteriorly, resulting in a narrowed left ventricular outflow tract (LVOT). The implications of SAM may range in severity from clinically insignificant disease to severe LVOT obstruction resulting in hemodynamic collapse. While SAM is typically observed in patients with hypertrophic cardiomyopathy or following mitral valve repair, it may be seen in any setting in which the anatomy and function of the left ventricle has been altered. Here we discuss two patients who presented for aortic and mitral valve replacements for concomitant aortic and mitral stenosis. These cases were further complicated by the preoperative diagnosis of SAM in addition to the preexisting valvular lesions, further increasing the risk of sudden hemodynamic collapse and cardiac arrest.http://dx.doi.org/10.1155/2023/9995115 |
| spellingShingle | Katelyn Glines J. W. Awori Hayanga Christina Gibson Mohamad El Churafa Lawrence Wei Heather K. Hayanga Triple Threat: Significant Concomitant Aortic Stenosis, Mitral Stenosis, and Systolic Anterior Motion of the Mitral Valve Causing Left Ventricular Outflow Tract Obstruction in Cardiac Surgical Patients Case Reports in Anesthesiology |
| title | Triple Threat: Significant Concomitant Aortic Stenosis, Mitral Stenosis, and Systolic Anterior Motion of the Mitral Valve Causing Left Ventricular Outflow Tract Obstruction in Cardiac Surgical Patients |
| title_full | Triple Threat: Significant Concomitant Aortic Stenosis, Mitral Stenosis, and Systolic Anterior Motion of the Mitral Valve Causing Left Ventricular Outflow Tract Obstruction in Cardiac Surgical Patients |
| title_fullStr | Triple Threat: Significant Concomitant Aortic Stenosis, Mitral Stenosis, and Systolic Anterior Motion of the Mitral Valve Causing Left Ventricular Outflow Tract Obstruction in Cardiac Surgical Patients |
| title_full_unstemmed | Triple Threat: Significant Concomitant Aortic Stenosis, Mitral Stenosis, and Systolic Anterior Motion of the Mitral Valve Causing Left Ventricular Outflow Tract Obstruction in Cardiac Surgical Patients |
| title_short | Triple Threat: Significant Concomitant Aortic Stenosis, Mitral Stenosis, and Systolic Anterior Motion of the Mitral Valve Causing Left Ventricular Outflow Tract Obstruction in Cardiac Surgical Patients |
| title_sort | triple threat significant concomitant aortic stenosis mitral stenosis and systolic anterior motion of the mitral valve causing left ventricular outflow tract obstruction in cardiac surgical patients |
| url | http://dx.doi.org/10.1155/2023/9995115 |
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