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Surgical Case Reports
Fig. 6 | Surgical Case Reports

Fig. 6

From: Systolic anterior motion of the mitral valve associated with acute type A aortic dissection: a case report describing one-step surgery of ascending aortic replacement and interventricular septal myectomy

Fig. 6

Possible mechanism of systolic anterior motion of the mitral valve associated with acute type A aortic dissection. 1 A 68-year-old woman with narrow aorto-mitral angle had acute type A aortic dissection. 2 Blood pressure control leading to low afterload was needed for prevention of recurrent aortic events, and physical stress due to aortic dissection caused relative adrenal insufficiency, leading to volume loss. 3 Unstable SAM of the patient with narrow aorto-mitral angle became apparent due to hyperdynamic state after aortic dissection, low afterload, and volume loss. SAM systolic anterior motion of mitral valve

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