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Three-Dimensional Transesophageal Echocardiographic Detection of Left Ventricular Outflow Tract Obstruction by Residual Native Mitral Leaflet following Mitral Valve Replacement in a Hypertrophic Obstructive Cardiomyopathy Patient

Hypertrophic obstructive cardiomyopathy (HOCM), although a worldwide prevalent cardiac disease, it imposes a greater task in the patient management. The association of coronary artery disease with HOCM poses an immense perioperative challenge and it demands an expert transesophageal echocardiography...

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Detalles Bibliográficos
Autores principales: Palaniswamy, Nithiyanandhan, Munaf, Mamatha, Babu, Saravana, Gadhinglajkar, Shrinivas V.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10451128/
https://www.ncbi.nlm.nih.gov/pubmed/37470540
http://dx.doi.org/10.4103/aca.aca_180_22
Descripción
Sumario:Hypertrophic obstructive cardiomyopathy (HOCM), although a worldwide prevalent cardiac disease, it imposes a greater task in the patient management. The association of coronary artery disease with HOCM poses an immense perioperative challenge and it demands an expert transesophageal echocardiography (TEE) examination for guiding the surgery and detailed assessment after surgical correction. We report a case of HOCM with coronary artery disease where the post-cardiopulmonary bypass three-dimensional TEE played a crucial role in exact identification of the mechanism of fixed left ventricular outflow tract obstruction, when the two-dimensional TEE failed to provide adequate information.