ノムラ　タケシ   NOMURA Takeshi   野村　岳志    所属   医学部 医学科（東京女子医科大学病院）    職種   教授
論文種別	症例報告
言語種別	英語
査読の有無	査読あり
表題	Transient systolic anterior motion with junctional rhythm after mitral valve repair in the intensive care unit.
掲載誌名	正式名：Critical ultrasound journal 略　 称：Crit Ultrasound J ISSNコード：(2036-3176)2036-3176(Linking)
掲載区分	国外
出版社	Springer
巻・号・頁	10(1),pp.30
著者・共著者	Seino Yusuke†*, Sato Nobuo, Fukui Kimiya, Ishikawa Junya, Nakagawa Masahi, Nomura Takeshi
担当区分	最終著者
発行年月	2018/11
概要	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.
DOI	10.1186/s13089-018-0111-6
PMID	30417260