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Use of Alfieri stitch technique in a patient with hypertrophic obstructive cardiomyopathy

Cardiovascular Surgery Clinic, Goztepe Safak Hospital, Kadikoy, Istanbul, Turkey

*Corresponding author. Tel.: +90 533 366 11 54; fax: +90 216 44 99 133.

E-mail address: dr_murat_basaran{at}yahoo.com (M. Basaran).

Systolic anterior motion of the anterior mitral leaflet plays an important role in the dynamic outflow tract obstruction encountered in patients with hypertrophic obstructive cardiomyopathy. Here we present a 58-year-old male patient who was successfully treated with a myectomy procedure applied along with the edge-to-edge Alfieri stitch technique. The use of the Alfieri technique provides satisfactory short-term results and can be considered as an alternative adjunct to abolish systolic anterior motion.

Key Words: Alfieri stitch technique; Edge-to-edge technique; Systolic anterior motion; Hypertrophic obstructive cardiomyopathy