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Figure 3 Echocardiographic image of a Group 1 patient. The top image represents premitral valve repair; the middle image shows systolic anterior motion of the anterior mitral leaflet and left ventricular outflow tract obstruction (SAM/LVOTO) and the bottom image represents resolution of the SAM/LVOTO. Resolution occurred after discontinuation of inotropes, administration of intravenous fluid, vasopressor and beta-blocker (esmolol). LVOTO = left ventricular outflow tract obstruction; SAM = systolic anterior motion of the mitral leaflet.