Transient systolic anterior motion with junctional rhythm after mitral valve repair in the intensive care unit
Abstract Systolic anterior motion (SAM) after mitral valve repair (MVR) can adversely affect hemodynamics due to exacerbation of left ventricular outflow tract obstruction and mitral regurgitation. Intraoperative transient SAM after MVR can usually be managed with hemodynamic maneuvers under continu...
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doaj-e3765615670d4e809ebcf838a8d8d83e2020-11-25T02:36:04ZengSpringerOpenCritical Ultrasound Journal2036-31762036-79022018-11-011011510.1186/s13089-018-0111-6Transient systolic anterior motion with junctional rhythm after mitral valve repair in the intensive care unitYusuke Seino0Nobuo Sato1Kimiya Fukui2Junya Ishikawa3Masahi Nakagawa4Takeshi Nomura5Department of Intensive Care Medicine, Tokyo Women’s Medical UniversityDepartment of Intensive Care Medicine, Tokyo Women’s Medical UniversityDepartment of Intensive Care Medicine, Tokyo Women’s Medical UniversityDepartment of Intensive Care Medicine, Tokyo Women’s Medical UniversityDepartment of Intensive Care Medicine, Tokyo Women’s Medical UniversityDepartment of Intensive Care Medicine, Tokyo Women’s Medical UniversityAbstract Systolic anterior motion (SAM) after mitral valve repair (MVR) can adversely affect hemodynamics due to exacerbation of left ventricular outflow tract obstruction and mitral regurgitation. Intraoperative transient SAM after MVR can usually be managed with hemodynamic maneuvers under continuous monitoring by transesophageal echocardiography (TEE). However, during postoperative intensive care management, transient SAM is seldom diagnosed and the start of treatment may be delayed. We present a case of transient SAM after MVR with abrupt deterioration due to junctional rhythm in the intensive care unit (ICU). TEE revealed that conversion from normal sinus rhythm into junctional rhythm induced the exacerbation of SAM. TEE was useful for identifying the etiology of unstable hemodynamics after cardiac surgery in the ICU, similar to its use in the operating room.http://link.springer.com/article/10.1186/s13089-018-0111-6Systolic anterior motionLeft ventricular outflow tract obstructionMitral valve repairTransesophageal echocardiography |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yusuke Seino Nobuo Sato Kimiya Fukui Junya Ishikawa Masahi Nakagawa Takeshi Nomura |
spellingShingle |
Yusuke Seino Nobuo Sato Kimiya Fukui Junya Ishikawa Masahi Nakagawa Takeshi Nomura Transient systolic anterior motion with junctional rhythm after mitral valve repair in the intensive care unit Critical Ultrasound Journal Systolic anterior motion Left ventricular outflow tract obstruction Mitral valve repair Transesophageal echocardiography |
author_facet |
Yusuke Seino Nobuo Sato Kimiya Fukui Junya Ishikawa Masahi Nakagawa Takeshi Nomura |
author_sort |
Yusuke Seino |
title |
Transient systolic anterior motion with junctional rhythm after mitral valve repair in the intensive care unit |
title_short |
Transient systolic anterior motion with junctional rhythm after mitral valve repair in the intensive care unit |
title_full |
Transient systolic anterior motion with junctional rhythm after mitral valve repair in the intensive care unit |
title_fullStr |
Transient systolic anterior motion with junctional rhythm after mitral valve repair in the intensive care unit |
title_full_unstemmed |
Transient systolic anterior motion with junctional rhythm after mitral valve repair in the intensive care unit |
title_sort |
transient systolic anterior motion with junctional rhythm after mitral valve repair in the intensive care unit |
publisher |
SpringerOpen |
series |
Critical Ultrasound Journal |
issn |
2036-3176 2036-7902 |
publishDate |
2018-11-01 |
description |
Abstract Systolic anterior motion (SAM) after mitral valve repair (MVR) can adversely affect hemodynamics due to exacerbation of left ventricular outflow tract obstruction and mitral regurgitation. Intraoperative transient SAM after MVR can usually be managed with hemodynamic maneuvers under continuous monitoring by transesophageal echocardiography (TEE). However, during postoperative intensive care management, transient SAM is seldom diagnosed and the start of treatment may be delayed. We present a case of transient SAM after MVR with abrupt deterioration due to junctional rhythm in the intensive care unit (ICU). TEE revealed that conversion from normal sinus rhythm into junctional rhythm induced the exacerbation of SAM. TEE was useful for identifying the etiology of unstable hemodynamics after cardiac surgery in the ICU, similar to its use in the operating room. |
topic |
Systolic anterior motion Left ventricular outflow tract obstruction Mitral valve repair Transesophageal echocardiography |
url |
http://link.springer.com/article/10.1186/s13089-018-0111-6 |
work_keys_str_mv |
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