Preoperative morphological analysis by transesophageal echocardiography and predictive value of plasma landiolol concentration during systolic anterior motion mitral valve repair : a report of three cases

Autor: Takayuki Kunisawa, Osamu Takahata, Atsushi Kurosawa, Takafumi Iida, Manabu Yoshimura, Hayato Takakai, Megumi Matsumoto, Hirotsugu Kanda, Hiroshi Iwasaki
Rok vydání: 2013
Předmět:
Male
medicine.medical_specialty
Morpholines
Transesophageal echocardiography (TEE)
medicine.medical_treatment
Adrenergic beta-Antagonists
Echocardiography
Three-Dimensional
Landiolol hydrochloride
Preoperative care
Internal medicine
Mitral valve
Preoperative Care
Humans
Urea
Medicine
Mitral valve prolapse
cardiovascular diseases
Interventricular septum
Aged
Mitral valve repair
Clinical Report
business.industry
Mitral Valve Insufficiency
Landiolol
Middle Aged
Prognosis
medicine.disease
Predictive value
Anesthesiology and Pain Medicine
medicine.anatomical_structure
Mitral valve annuloplasty (MVP)
Anesthesia
Morphological analysis
cardiovascular system
Cardiology
Mitral Valve
Female
business
Anti-Arrhythmia Agents
Echocardiography
Transesophageal
Systolic anterior motion of the mitral valve (SAM)
medicine.drug
Zdroj: Journal of Anesthesia
ISSN: 1438-8359
0913-8668
DOI: 10.1007/s00540-013-1731-4
Popis: We report three cases with systolic anterior motion (SAM) after mitral valve plasty. Preoperative mitral valve morphology is a risk factor for SAM. The morphological characteristics of SAM have been revealed in several studies. We found a small distance between coaptation and the interventricular septum in all cases, and cases 2, and 3 had a low AL/PL ratio, whereas case 3 had a large PML, which was revealed by transesophageal echocardiography. With the use of 3D transesophageal echocardiography, when mitral valve prolapse was investigated, in all three cases, it was easy to specify lesions. The issue for the future is 3D analysis when SAM is occurring.
Databáze: OpenAIRE
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