Systolic anterior motion of mitral valve following resection of subaortic membrane and intracardiac repair of tetralogy of fallot
Systolic Vests anterior motion (SAM) of the mitral valve is commonly observed in patients with hypertrophic obstructive cardiomyopathy and in few patients after mitral valve repair or aortic valve replacement.It may cause significant hemodynamic instability due to left ventricular outflow tract (LVOT) obstruction and resulting mitral regurgitation.