Systolic anterior motion of the anterior mitral leaflet after heart transplantation.

TRANSESOPHAGEAL echocardiography (TEE) is a new tool for the perioperative treatment of cardiac surgery patients. We report a clinical case to illustrate the usefulness of TEE for evaluating morphologic and functional features of a cardiac graft. Mitral regurgitation (MR) secondary to left ventricular outflow tract obstruction with systolic anterior motion (SAM) of the anterior mitral leaflet was diagnosed preoperatively with TEE. Medical treatment of the recipient was changed consequently to prevent hemodynamic deterioration.

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