What does this research mean for the field?

Anomalous accessory mitral chordae can cause functional systolic anterior motion of the mitral valve and left ventricular outflow tract obstruction, which can be rapidly diagnosed and managed using intraoperative transesophageal echocardiography. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

January 1, 2008Journal of Cardiovascular Medicine

Functional systolic anterior motion of the mitral valve due to accessory chordae

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Population

70-year-old patient referred for aortic valve and ascending aorta replacement

Design

Case_report

Authors

SMSimone MassaccesiOspedali Riuniti di Ancona GMGigliola MancinelliOspedali Riuniti di Ancona CMChristopher MünchMarche Polytechnic University

Discussion

Member takes

Implication

Supports TEE in rare LVOTO cases; hypothesis-generating and should not yet change practice.

Structured PICO

Population

70-year-old patient referred for aortic valve and ascending aorta replacement

Intervention

Intraoperative transoesophageal echocardiography (TEE) and subsequent valve-sparing surgical technique

Outcome

Diagnosis of mechanism of haemodynamic worsening and successful surgical management

Routine intraoperative transoesophageal echocardiography is highly useful for diagnosing unexpected haemodynamic impairment and guiding surgical strategy.

Cite This Study

Massaccesi et al. (2008) studied this question.

synapsesocial.com/papers/6a1def99871ff5209bef912e https://doi.org/10.2459/jcm.0b013e3280c852b2

Topics

Mitral valve intervention

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