NOMURA Takeshi    Department   School of Medicine(Tokyo Women's Medical University Hospital), School of Medicine    Position   Professor
Article types	Case report
Language	English
Peer review	Peer reviewed
Title	Transient systolic anterior motion with junctional rhythm after mitral valve repair in the intensive care unit.
Journal	Formal name：Critical ultrasound journal Abbreviation：Crit Ultrasound J ISSN code：(2036-3176)2036-3176(Linking)
Domestic / Foregin	Foregin
Publisher	Springer
Volume, Issue, Page	10(1),pp.30
Author and coauthor	Seino Yusuke†*, Sato Nobuo, Fukui Kimiya, Ishikawa Junya, Nakagawa Masahi, Nomura Takeshi
Authorship	Last author
Publication date	2018/11
Summary	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