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Systolic anterior motion (SAM) of the mitral leaflets can lead to hemodynamic instability following mitral valve repair. Perioperative echocardiography plays a crucial role in the management of SAM. Perioperative echocardiography helps to (a) identify patients at high risk for SAM before repair, (b) assess SAM and diagnose severity and (c) follow-up management efficacy. An illustrative case is shown in this report to take the reader through the current management strategy of SAM following mitral valve repair.

Systolic Anterior Motion: An Illustrative Case and Discussion of Management Strategy