Key result
Two octogenarians presented with systolic mitral leaflet anterior motion in the setting of advanced mitral valve disease, severe mitral annular calcification, and asymmetrical septal hypertrophy.
Case Report (n=2)
Highlights the occurrence of systolic anterior motion of the mitral valve in elderly patients with severe mitral annular calcification and asymmetrical septal hypertrophy.
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SAM may occur in octogenarians with severe MAC and ASH; hypothesis-generating, should not change practice.
Systolic anterior motion of the mitral leaflet causing left ventricular outflow tract obstruction is commonly seen in hypertrophic cardiomyopathy and also in patients with advanced mitral valve disease with excessive anterior leaflet tissue or a reduced aortic-mitral angle. We describe 2 octogenarians who presented with systolic mitral leaflet anterior motion in advanced mitral valve disease with severe mitral annular calcification and associated asymmetrical septal hypertrophy.
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Parissis et al. (2013) conducted a case report in Systolic anterior motion of the mitral leaflet with advanced mitral valve disease and severe mitral annular calcification (n=2). Two octogenarians presented with systolic mitral leaflet anterior motion in the setting of advanced mitral valve disease, severe mitral annular calcification, and asymmetrical septal hypertrophy.
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