Document Detail

An unusual cause of left ventricular outflow tract obstruction after mitral valve repair.
MedLine Citation:
PMID:  15281499     Owner:  NLM     Status:  MEDLINE    
Left ventricular outflow tract (LVOT) obstruction caused by systolic anterior motion is a cause of failed mitral valve repair. Intraoperative transesophageal echocardiography has been very helpful in diagnosing problems with mitral valve repairs intraoperatively, allowing immediate correction. We report an unusual cause of LVOT obstruction attributed to prolapse of the annuloplasty ring into the LVOT. Intraoperative hemodynamics were normal, and the diagnosis would not have been made before leaving the operative suite without the transesophageal echocardiography.
Kathryn E Glas; Jack S Shanewise; Robert A Guyton
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Anesthesia and analgesia     Volume:  99     ISSN:  0003-2999     ISO Abbreviation:  Anesth. Analg.     Publication Date:  2004 Jul 
Date Detail:
Created Date:  2004-07-29     Completed Date:  2004-08-26     Revised Date:  2005-01-21    
Medline Journal Info:
Nlm Unique ID:  1310650     Medline TA:  Anesth Analg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  38-40     Citation Subset:  AIM; IM    
Department of Anesthesiology, Emory University School of Medicine, Atlanta, Georgia 30308, USA.
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MeSH Terms
Cardiac Surgical Procedures*
Echocardiography, Transesophageal
Heart Septal Defects, Atrial / complications*,  surgery
Middle Aged
Mitral Valve / surgery*
Postoperative Complications / etiology*,  ultrasonography
Ventricular Outflow Obstruction / etiology*,  ultrasonography
Comment In:
Anesth Analg. 2005 Jan;100(1):294-5; author reply 295-6   [PMID:  15616099 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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