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Case Reports
. 2005 Jun;100(6):1594-1598.
doi: 10.1213/01.ANE.0000152392.26910.5E.

Systolic anterior motion of the mitral valve with left ventricular outflow tract obstruction: three cases of acute perioperative hypotension in noncardiac surgery

Günter Luckner  1 , Josef Margreiter, Stefan Jochberger, Viktoria Mayr, Thomas Luger, Wolfgang Voelckel, Andreas J Mayr, Martin W Dünser
Affiliations
Case Reports

Systolic anterior motion of the mitral valve with left ventricular outflow tract obstruction: three cases of acute perioperative hypotension in noncardiac surgery

Günter Luckner et al. Anesth Analg. 2005 Jun.

Abstract

In this report we describe three cases of severe perioperative hypotension in noncardiac surgery patients. As systolic anterior motion of the mitral valve in combination with subaortic left ventricular outflow tract obstruction is an unrecognized cause for hypotension in noncardiac surgery patients, delayed diagnosis can result in erroneous treatment regimen. The aim of the present report is to provide an informative and brief synopsis of the pathophysiological consequences and diagnostic/therapeutic strategies for the perioperative management of systolic anterior motion.

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Comment in

  • Appropriate response to hypotension.
    Pivalizza EG, Warters RD, Szmuk P. Pivalizza EG, et al. Anesth Analg. 2006 Feb;102(2):650; author reply 650. doi: 10.1213/01.ANE.0000190749.28151.A4. Anesth Analg. 2006. PMID: 16428589 No abstract available.

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