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Anesth Analg 2005;100:1594-1598
© 2005 International Anesthesia Research Society
doi: 10.1213/01.ANE.0000152392.26910.5E

CARDIOVASCULAR ANESTHESIA

Systolic Anterior Motion of the Mitral Valve with Left Ventricular Outflow Tract Obstruction: Three Cases of Acute Perioperative Hypotension in Noncardiac Surgery

Günter Luckner, MD, Josef Margreiter, MD, Stefan Jochberger, MD, Viktoria Mayr, MD, Thomas Luger, MD, Wolfgang Voelckel, MD, Andreas J. Mayr, MD, and Martin W. Dünser, MD

Department of Anesthesiology and Critical Care Medicine, Innsbruck Medical University, Innsbruck, Austria

Address correspondence and reprint requests to Günter Luckner, MD, Department of Anesthesiology and Critical Care Medicine, Innsbruck Medical University, Anichstrasse 35, 6020 Innsbruck, Austria. Address e-mail to guenter.luckner{at}uibk.ac.at.

In this report we describe three cases of severe perioperative hypotension in noncardiac surgery patients. As systolic anterior motion of the mitral valve in combination with subaortic left ventricular outflow tract obstruction is an unrecognized cause for hypotension in noncardiac surgery patients, delayed diagnosis can result in erroneous treatment regimen. The aim of the present report is to provide an informative and brief synopsis of the pathophysiological consequences and diagnostic/therapeutic strategies for the perioperative management of systolic anterior motion.




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E. G. Pivalizza, R. D. Warters, and P. Szmuk
Appropriate response to hypotension.
Anesth. Analg., February 1, 2006; 102(2): 650 - 650.
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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2005 by the International Anesthesia Research Society.