Systolic anterior motion due to morphology changes in constrictive pericarditis

Author:

Kumagai Yu1ORCID,Nakajima Hiroyuki1ORCID,Nakajima Tomomi1,Yoshitake Akihiro1ORCID

Affiliation:

1. Department of Cardiovascular Surgery, Saitama Medical University, International Medical Center , Saitama, Japan

Abstract

Abstract Systolic anterior motion (SAM) can be caused by multifactorial mechanisms, including structural, morphological and functional factors. We report an unusual case of a 76-year-old woman presenting with SAM associated with constrictive pericarditis. Echocardiography showed no septal hypertrophy but SAM and left ventricular outflow tract obstruction and moderate mitral regurgitation. The restoration of diastolic function after complete pericardiectomy successfully eliminated it.

Publisher

Oxford University Press (OUP)

Reference4 articles.

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2. Worsened tricuspid regurgitation following pericardiectomy for constrictive pericarditis;Tabucanon;Circ Cardiovasc Imaging,2021

3. Transient systolic anterior motion of the anterior mitral valve leaflet in a critical care patient with a structurally normal heart;Abbas;Cureus,2019

4. Predicting systolic anterior motion after mitral valve reconstruction: using intraoperative transoesophageal echocardiography to identify those at greatest risk;Varghese;Eur J Cardiothorac Surg,2014

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