Key result
Medial trigone suture during mitral valve repair causes iatrogenic LVOTO that resolves upon suture release.
Population
1 58-year-old man with symptomatic bileaflet myxomatous mitral valve disease and atrial fibrillation.
Design
Case_report
Follow-up
3 months
Authors
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A deep trigone intervention during mitral valve repair, particularly in patients with myxomatous disease, can distort the fibrous framework and cause fixed left ventricular outflow tract obstruction requiring surgical release.
Case Report (n=1)
A deep trigone intervention during mitral valve repair, particularly in patients with myxomatous disease, can distort the fibrous framework and cause fixed left ventricular outflow tract obstruction requiring surgical release.
Musuku et al. (2015) conducted a case report in Bileaflet myxomatous mitral valve disease (n=1). Mitral valve repair with medial trigone suture was evaluated. A medial trigone suture placed during mitral valve repair in a 58-year-old man caused iatrogenic left ventricular outflow tract obstruction that resolved upon suture release.
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