Systolic anterior motion occurs after mitral valve repair due to an excess of leaflet tissue versus the anterior lateral height of the orifice of the mitral valve. The posterior leaflet pushes the anterior leaflet into the outflow tract. There are two principal causes for this.
This Mitral Foundation Teaching Library case is going to demonstrate sliding leaflet plasty in combination with annular plication to treat a patient with a Barlow's malformation.
High velocity jets after mitral valve repair strongly suggest leaflet perforation. They're usually simple lesions to re-repair. And if patients are stable and have good ventricular function, it's usually worth a second look on bypass to identify them.
The key teaching points that we show in this video is patch augmentation is the primary strategy for a perforation, whether that's healed or acute in the anterior leaflet.
This Mitral Foundation Teaching Library case is going to highlight the first U.S. implantation of the Edwards Lifesciences Physio II Annuloplasty Ring.