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Research Article | Volume 10 Issue 3 (, 2001) | Pages 307 - 311
The 'Pomeroy procedure': a new method to correct post-mitral valve repair systolic anterior motion
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1
Hoag Heart Institute, Newport Beach, California, USA.
Under a Creative Commons license
Open Access
PMID : 11380092
Received
May 11, 2001
Revised
May 24, 2001
Accepted
June 7, 2001
Published
July 12, 2001
Abstract

Systolic anterior motion (SAM), a recognized complication of mitral valve repair, is often associated with left ventricular outflow gradient and mitral regurgitation. Current surgery to prevent these conditions is to perform sliding annuloplasty to reduce the posterior mitral leaflet (PML) height and to oversize the annuloplasty ring. However, these techniques do not consistently eliminate post-repair SAM, and removal of excess tissue and reduction of anterior mitral leaflet (AML) height may be more effective; this is the 'Pomeroy procedure'. Here, we report a patient in whom all standard procedures to prevent SAM were performed, but the condition still developed. This was corrected on a second pump run, using the Pomeroy procedure.

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