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Comprehensive Textbook of Echocardiography
by Navin C NandaTransesophageal long-axis view depicting hypertrophic cardiomyopathy with systolic anterior motion (SAM) of the mitral valve. This acquisition was performed during the Resection-Plication-Release (RPR) surgery. The arrow is pointing at the site of septal contact of the mitral valve. Note the hypertrophied septum and elongated anterior leaflet of the mitral valve permitting systolic motion of the valve with subsequent obstruction.
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