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

Anesthesia and Analgesia

Volumn 100, Issue 6, 2005, Pages 1594-1598

  Luckner, Günter ^a   Margreiter, Josef ^a   Jochberger, Stefan ^a   Mayr, Viktoria ^a   Luger, Thomas ^a   Voelckel, Wolfgang ^a   Mayr, Andreas J ^a   Dünser, Martin W ^a  

^a UNIVERSITY HOSPITAL INNSBRUCK   (Austria)

Author keywords

[No Author keywords available]

Indexed keywords

BETA ADRENERGIC RECEPTOR BLOCKING AGENT; FENTANYL; HETASTARCH; PHENYLEPHRINE; PROPOFOL; ROCURONIUM; SOTALOL;

ADULT; AGED; ARTICLE; CARDIOVASCULAR DISEASE; CASE REPORT; CLINICAL FEATURE; COLLOID; CRYSTALLOID; DRUG WITHDRAWAL; FEMALE; FLUID THERAPY; HEART LEFT VENTRICLE OUTFLOW TRACT OBSTRUCTION; HEART VENTRICLE TACHYCARDIA; HUMAN; HYPOTENSION; INTENSIVE CARE UNIT; MALE; MITRAL VALVE; MITRAL VALVE DISEASE; ORTHOPEDIC SURGERY; PERIOPERATIVE PERIOD; PRIORITY JOURNAL; TRANSESOPHAGEAL ECHOCARDIOGRAPHY;

AGED; CHOLECYSTECTOMY; FEMALE; FEMORAL NECK FRACTURES; FEMUR; GALLBLADDER NEOPLASMS; HUMANS; HYPERTENSION; HYPOTENSION; INTRAOPERATIVE COMPLICATIONS; LIVER; MALE; MIDDLE AGED; MITRAL VALVE; ORTHOPEDIC PROCEDURES; PROSTHESIS IMPLANTATION; SYSTOLE; VENTRICULAR DYSFUNCTION, LEFT;

EID: 19044375199     PISSN: 00032999     EISSN: None     Source Type: Journal    
DOI: 10.1213/01.ANE.0000152392.26910.5E     Document Type: Article

References (25)

1. Fasting S, Gisvold SE. Serious intraoperative problems: a five year review of 83,844 anesthetics. Can J Anaesth 2002;49:545-53.
2. Schwilk B, Muche R, Treiber H, et al. A cross-validated multifactorial index of perioperative risks in adults undergoing anesthesia for non-cardiac surgery: analysis of perioperative events in 26,907 anesthetic procedures. J Clin Monitor Comput 1998;14:283-94.
3. Bothner U, Goergieff M, Schwilk B. Building a larger-scale perioperative anesthesia outcome-tracking data-base: methodology, implementation, and experiences from one provider within the German quality project. Br J Anaesth 2000;85:271-80.
4. Aragon D, Clancy R, Sole ML, Zhang Y. Variables influencing patients outcome after elective aortic reconstruction surgery. Am J Crit Care 2000;94:279-87.
5. Reich DL, Bodian CA, Krol M, et al. Intraoperative hemodynamic predictors of mortality, stroke, and myocardial infarction after coronary artery bypass surgery. Anesth Analg 1999;89:814-22.
6. Kohli HS, Bhaskaran MC, Muthukumar T, et al. Treatment-related acute renal failure in the elderly: a hospital-based prospective study. Nephrol Dial Transplant 2000;15:212-17.
7. Jain U, Laflamme CJ, Aggarwal A, et al. Echocardiographic and hemodynamic changes and their association with myocardial infarction during coronary artery bypass surgery (McSPI) Research Group. Anesthesiology 1997;86:576-91.
8. Lopez Aguila SC, Diosdado Iraola Ferrer M, Alvarez Li FC, et al. Mortality and risk factors in critical surgical patients: Rev Esp Anestesiol Reanim 2000;47:281-6.
9. Suan C, Perez-Torres C, Herrera A. Postoperative mortality in a general hospital. Rev Esp Anestesiol Reanim 1997;44:267-72.
10. Griffiths C, Agarwal R. Hypotension. In: Duke J, Rosenbert SG, eds. Anesthesia secrets, 2nd ed. Philadelphia: Hanley & Belfus Inc., 2000:157-61.
11. Landry DW, Oliver JA. The pathogenesis of vasodilatory shock. N Engl J Med 2001;345:588-95.
12. Levine RA, Vlahakes GJ, Lefebvre X, et al. Papillary muscle displacement causes systolic anterior motion of the mitral valve: experimental validation and insights into the mechanism of subaortic obstruction. Circulation 1995;91:1189-95.
13. Sasson Z, Rakowski H, Wigle ED. Hypertrophic cardiomyopathy. Cardiol Clin 1988;6:233-88.
14. Charls LM. SAM: systolic anterior motion of the anterior mitral valve leaflet post-surgical mitral valve repair. Heart Lung 2003;32:402-6.
15. Hrovatin E, Piazza R, Pavan D, et al. Dynamic left ventricular outflow tract obstruction in the setting of acute anterior myocardial infarction: a serious and potentially fatal complication? Echocardiography 2002;19:449-5.
16. Blukley BH, Fortuin NJ. Systolic anterior motion of the mitral valve without asymmetric septal hypertrophy. Chest 1976;69:694-6.
17. Pollick C. Unlocking the mystery of systolic anterior motion: the key is timing. Can J Cardiol 1985;1:33-4.
18. Sherrid MV, Gunsburg DZ, Moldenhauer S, Pearle G. Systolic anterior motion begins at low left ventricular outflow tract velocity in obstructive hypertrophic cardiomyopathy. J Am Coll Cardiol 2000;36:1344-54.
19. Pollick C, Morgan CD, Gilbert BW, et al. Muscular subaortic stenosis: the temporal relationship between systolic anterior motion of the anterior mitral leaflet and the pressure gradient. Circulation 1982;66:1087-94.
20. Maron BJ. Hypertrophic cardiomyopathy: a systematic review. JAMA 2002;287:1308-20.
21. Freeman WK, Schaff HV, Khandheria BK, et al. Intraoperative evaluation of mitral valve regurgitation and repair by transesophageal echocardiography: incidence and significance of systolic anterior motion. J Am Coll Cardiol 1992;20:599-609.
22. Krenz HK, Mindich BP, Guarino T, Goldman ME. Sudden development of intraoperative left ventricular outflow obstruction: differential and mechanism: an intraoperative two-dimensional echocardiography study. J Card Surg 1990;5:93-101.
23. Sherrid MV, Chaudhry FA, Swistel DG. Obstructive hypertrophic cardiomyopathy: echocardiography, pathophysiology, and the continuing evolution of surgery for obstruction. Ann Thorac Surg 2003;75:620-32.
24. Tam JW, Shaikh N, Sutherland E. Echocardiographic assessment of patients with hypertrophic and restrictive cardiomyopathy: imaging and echocardiography. Curr Opin Cardiol 2002;17:470-7.
25. Sherrid MV. Dynamic left ventricular outflow obstruction in hypertrophic cardiomyopathy revisited: significance, pathogenesis, and treatment. Cardiol Rev 1998;6:135-45.