{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:25:13Z","timestamp":1787837113961,"version":"build-2784847793"},"reference-count":4,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:p>Hypertrophic obstructive cardiomyopathy is a relatively common disorder that signifies asymmetric hypertrophy of interventricular septum causing obstruction of the left ventricular outflow tract (LVOT). However, more recent studies have shown that during ventricular systole, flow against an abnormal mitral valve apparatus results in drag forces on the part of the leaflets. The mitral leaflet is pushed into the LVOT to obstruct it. We present a case where intraoperative transesophageal echocardiography played a crucial role in defining the etiology of LVOT obstruction that subsequently helped in deciding the surgical plan.<\/jats:p>","DOI":"10.4103\/aca.aca_205_17","type":"journal-article","created":{"date-parts":[[2018,7,25]],"date-time":"2018-07-25T08:39:12Z","timestamp":1532507952000},"page":"315-318","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Abnormal Mitral Valve Apparatus in a Case of Hypertrophic Obstructive Cardiomyopathy: Intraoperative Transesophageal Echocardiography"],"prefix":"10.4103","volume":"21","author":[{"given":"Neelam","family":"Aggarwal","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic and Vascular Anesthesia, Dr. B. L. Kapur Memorial Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jasbir Singh","family":"Khanuja","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Anesthesia, Dr. B. L. Kapur Memorial Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sameer Saurabh","family":"Arora","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Anesthesia, Dr. B. L. Kapur Memorial Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rahul","family":"Maria","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Anesthesia, Dr. B. L. Kapur Memorial Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20250602","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1213\/ANE.0000000000000538","article-title":"Hypertrophic cardiomyopathy: A review","volume":"120","author":"Hensley","year":"2015","journal-title":"Anesth Analg"},{"key":"R2-20250602","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1093\/ejcts\/ezt234","article-title":"Predicting systolic anterior motion after mitral valve reconstruction: Using intraoperative transoesophageal echocardiography to identify those at greatest risk","volume":"45","author":"Varghese","year":"2014","journal-title":"Eur J Cardiothorac Surg"},{"key":"R3-20250602","doi-asserted-by":"crossref","first-page":"1846","DOI":"10.1016\/j.jacc.2016.01.071","article-title":"The mitral valve in obstructive hypertrophic cardiomyopathy: A test in context","volume":"67","author":"Sherrid","year":"2016","journal-title":"J Am Coll Cardiol"},{"key":"R4-20250602","doi-asserted-by":"crossref","first-page":"1497","DOI":"10.1016\/j.jacc.2016.07.735","article-title":"Mitral regurgitation in patients with hypertrophic obstructive cardiomyopathy: Implications for concomitant valve procedures","volume":"68","author":"Hong","year":"2016","journal-title":"J Am Coll Cardiol"}],"container-title":["Annals of Cardiac Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/00660469-201821030-00021","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:16:33Z","timestamp":1787836593000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/00660469-201821030-00021"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7]]},"references-count":4,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018]]}},"URL":"https:\/\/doi.org\/10.4103\/aca.aca_205_17","relation":{},"ISSN":["0971-9784","0974-5181"],"issn-type":[{"value":"0971-9784","type":"print"},{"value":"0974-5181","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,7]]}}}