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Acute LVOT Obstruction with a Carbomedics Mechanical Valve Prosthesis
Author(s) -
Alsidawi Said,
Joyce David L.,
Malouf Joseph F.,
Nkomo Vuyisile T.
Publication year - 2016
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.12749
Subject(s) - medicine , prosthesis , cardiology , mitral valve replacement , transesophageal echocardiogram , stenosis , cardiopulmonary bypass , mechanical valve , mitral valve , surgery
A 62‐year‐old female with severe symptomatic rheumatic mitral stenosis was referred for mitral valve replacement. A 27‐mm Carbomedics mechanical mitral valve was placed using everting sutures. As the patient was weaned off cardiopulmonary bypass, she became hemodynamically unstable. Intraoperative transesophageal echocardiogram revealed a significant drop in left ventricular function along with severe LVOT obstruction. The Carbomedics prosthesis was replaced by a 27‐mm St. Jude mechanical valve using noneverting sutures which relieved the LVOT obstruction. doi: 10.1111/jocs.12749 (J Card Surg 2016;31:376–379)