Skip to main content
main-content

01.12.2018 | Case report | Ausgabe 1/2018 Open Access

The Ultrasound Journal 1/2018

Transient systolic anterior motion with junctional rhythm after mitral valve repair in the intensive care unit

Zeitschrift:
The Ultrasound Journal > Ausgabe 1/2018
Autoren:
Yusuke Seino, Nobuo Sato, Kimiya Fukui, Junya Ishikawa, Masahi Nakagawa, Takeshi Nomura
Wichtige Hinweise

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1186/​s13089-018-0111-6) contains supplementary material, which is available to authorized users.

Abstract

Systolic anterior motion (SAM) after mitral valve repair (MVR) can adversely affect hemodynamics due to exacerbation of left ventricular outflow tract obstruction and mitral regurgitation. Intraoperative transient SAM after MVR can usually be managed with hemodynamic maneuvers under continuous monitoring by transesophageal echocardiography (TEE). However, during postoperative intensive care management, transient SAM is seldom diagnosed and the start of treatment may be delayed. We present a case of transient SAM after MVR with abrupt deterioration due to junctional rhythm in the intensive care unit (ICU). TEE revealed that conversion from normal sinus rhythm into junctional rhythm induced the exacerbation of SAM. TEE was useful for identifying the etiology of unstable hemodynamics after cardiac surgery in the ICU, similar to its use in the operating room.
Zusatzmaterial
Additional file 1. Mid-esophageal long axis view on the second postoperative day. Massive mitral regurgitation and turbulent flow is seen in the left ventricular outflow tract.
Additional file 2. Mid-esophageal long axis view in normal sinus rhythm.
Additional file 3. Mid-esophageal long axis view in junctional rhythm.
Additional file 4. Mid-esophageal long axis view in junctional rhythm (2-dimensional mode).
Literatur
Über diesen Artikel

Weitere Artikel der Ausgabe 1/2018

The Ultrasound Journal 1/2018 Zur Ausgabe