Open AccessDynamic left ventricular outflow tract obstruction complicating aortic valve replacement: A hidden malefactor revisited
Author(s) -
Prashanth Panduranga,
Madan Mohan Maddali,
Mohammed Mukhaini,
John Valliattu
Publication year - 2010
Publication title -
saudi journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.416
H-Index - 24
eISSN - 1658-354X
pISSN - 0975-3125
DOI - 10.4103/1658-354x.65118
Subject(s) - medicine , cardiogenic shock , aortic valve replacement , cardiology , ventricular outflow tract , complication , ventricular outflow tract obstruction , refractory (planetary science) , aortic valve , shock (circulatory) , outflow , surgery , myocardial infarction , stenosis , physics , astrobiology , meteorology , hypertrophic cardiomyopathy
It is known that a dynamic left ventricular outflow tract (LVOT) obstruction exists in patients, following aortic valve replacement (AVR) and is usually considered to be benign. We present a patient with dynamic LVOT obstruction following AVR, who developed refractory cardiogenic shock and expired inspite of various treatment strategies. This phenomenon must be diagnosed early and should be considered as a serious and potentially fatal complication following AVR. The possible mechanisms and treatment options are reviewed.