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Most of the published data regards the primary SAM that is associated with hypertrophic cardiomyopathy. This review was focused on the management of SAM that occurs after mitral valve repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>To perform an update about the SAM occurring after mitral valve repair, data published in the last 15 years (2010\u20132025) were revised.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Out of the 354 publications that deal with SAM, 97 representative original papers matched our inclusion criteria: papers about the postoperative SAM and the description of SAM treatment. Although SAM can be successfully identified postoperatively, the paper highlights the importance of transesophageal echocardiography, in the operating room, as a diagnostic tool. The review also evaluates the treatment approaches, from conservative to surgical methods, and present them using representative graphs. It was showed that, postoperatively, conservative treatment is an option for patients with \u201cnegative SAM tolerance test.\u201d When necessary, the type of surgical intervention should take into consideration the particularities of the mitral ring, leaflets, subvalvular apparatus, the mitral coaptation line, and the pre\u2010existing diseases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>For proper management of post\u2010operative SAM, the implementation of an in\u2010house treatment algorithm should be established before the patient leaves the operating room.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.72265","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T04:40:04Z","timestamp":1789706404000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Systolic Anterior Motion After Mitral Valve Repair: A Narrative Review of Current Therapeutic Algorithms in the Operating Room"],"prefix":"10.1002","volume":"9","author":[{"given":"Carmen Elena","family":"Opris","sequence":"first","affiliation":[{"name":"Department of Pathology George Emil Palade University of Medicine, Pharmacy, Science and Technology Targu Mures Romania"},{"name":"Department of Adult and Children Cardiovascular Recovery Emergency Institute for Cardio\u2010Vascular Diseases and Transplantation Targu Mures Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Horatiu","family":"Suciu","sequence":"additional","affiliation":[{"name":"Department of Adult and Children Cardiovascular Recovery Emergency Institute for Cardio\u2010Vascular Diseases and Transplantation Targu Mures Romania"},{"name":"Department of Surgery George Emil Palade University of Medicine, Pharmacy, Science and Technology Targu Mures Romania"},{"name":"Romanian Academy of Medical Sciences Bucharest Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3563-1772","authenticated-orcid":false,"given":"Catalin\u2010Constantin","family":"Badiu","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery Emergency University Hospital Bucharest Romania"},{"name":"Department of Cardiology and Cardiovascular Surgery Carol Davila University of Medicine and Pharmacy Bucharest Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cosmin Ioan","family":"Opris","sequence":"additional","affiliation":[{"name":"Department of Adult and Children Cardiovascular Recovery Emergency Institute for Cardio\u2010Vascular Diseases and Transplantation Targu Mures Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alina Gabriela","family":"Negru","sequence":"additional","affiliation":[{"name":"Department of Cardiology II Victor Babes University of Medicine and Pharmacy Timisoara Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3968-5118","authenticated-orcid":false,"given":"Simona","family":"Gurzu","sequence":"additional","affiliation":[{"name":"Department of Pathology George Emil Palade University of Medicine, Pharmacy, Science and Technology Targu Mures Romania"},{"name":"Romanian Academy of Medical Sciences Bucharest Romania"},{"name":"Research Center for Oncopathology and Translational Medicine (CCOMT) George Emil Palade University of Medicine, Pharmacy, Science and Technology Targu Mures Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,17]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2019-231301"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2012.10.064"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.2478\/jccm-2025-0021"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00540-013-1731-4"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezab389"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.116.023340"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2011.12.054"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/1089253218815465"},{"key":"e_1_2_15_10_1","doi-asserted-by":"publisher","DOI":"10.47162\/RJME.65.4.18"},{"key":"e_1_2_15_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12872-022-03010-z"},{"key":"e_1_2_15_12_1","doi-asserted-by":"crossref","unstructured":"J.Chikwe F.Filsoufi andA.Carpentier \u201cPrinciples of Carpentier's Reconstructive Mitral Valve Surgery \u201d inAtlas of Robotic Cardiac Surgery ed. 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