Systolic anterior motion. A report of two cases

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dc.contributor.authorConcha, Mario
dc.contributor.authorMertz K, Veronica
dc.date.accessioned2024-01-10T12:09:08Z
dc.date.available2024-01-10T12:09:08Z
dc.date.issued2012
dc.description.abstractSystolic anterior motion describes the anterior displacement of one or both mitral valve leaflets, obstructing the outflow tract of the left ventricle. It can be a cause of severe hypotension during the intraoperative and postoperative period of non-cardiac surgery. The diagnosis is made with echocardiography. We report two patients with this problem. The first was a 74-year-old male subjected to an incisional hernia repair who presented severe hypotension in the intraoperative period. A transesophageal echocardiography revealed an anterior displacement of the mitral valve anterior leaflet. Epinephrine was discontinued and Norepinephrine and a volume expander were administered, with good response. The second patient was a 64-year-old male undergoing a right liver lobectomy. In the postoperative period, he suffered severe hypotension. A transesophageal echocardiography revealed an anterior displacement of the mitral valve anterior leaflet. Dobutamine was discontinued, volume was administered, and a Norepinephrine infusion was started with good response. (Rev Med Chile 2012; 140: 1046-1049).
dc.fechaingreso.objetodigital2024-05-29
dc.format.extent4 páginas
dc.fuente.origenWOS
dc.identifier.doi10.4067/S0034-98872012000800012
dc.identifier.issn0034-9887
dc.identifier.pubmedidMEDLINE:23282779
dc.identifier.urihttps://doi.org/10.4067/S0034-98872012000800012
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/76462
dc.identifier.wosidWOS:000309152000012
dc.information.autorucMedicina;Concha M;S/I;61460
dc.information.autorucMedicina;Mertz V;S/I;75458
dc.issue.numero8
dc.language.isoes
dc.nota.accesoContenido completo
dc.pagina.final1049
dc.pagina.inicio1046
dc.publisherSOC MEDICA SANTIAGO
dc.revistaREVISTA MEDICA DE CHILE
dc.rightsacceso abierto
dc.subjectHypotension
dc.subjectMitral valve
dc.subjectPostoperative period
dc.subjectOUTFLOW TRACT OBSTRUCTION
dc.subjectLEFT-VENTRICULAR FUNCTION
dc.subjectNONCARDIAC SURGERY
dc.subjectMITRAL-VALVE
dc.subjectECHOCARDIOGRAPHY
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleSystolic anterior motion. A report of two cases
dc.typeartículo
dc.volumen140
sipa.codpersvinculados61460
sipa.codpersvinculados75458
sipa.indexWOS
sipa.indexScopus
sipa.trazabilidadCarga SIPA;09-01-2024
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