Severe Left Ventricular Outflow Tract Obstruction Immediately After Surgical Repair of Ebstein’s Anomaly

A 52-year-old man following surgery for Ebstein’s anomaly after repair developed acute hemodynamically significant left ventricular outflow tract obstruction with systolic anterior motion of the mitral valve and severe mitral regurgitation. Fluid resuscitation and weaning of inotropes were unsuccess...

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Detalles Bibliográficos
Autores principales: Rafiq, Isma, Khokhar, Arif A., Alonso-Gonzalez, Rafael, Ghez, Olivier, Kempny, Aleksander, Dimopoulos, Konstantinos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Mini-Focus Issue: Congenital Heart Disease
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8302009/
https://www.ncbi.nlm.nih.gov/pubmed/34317336
http://dx.doi.org/10.1016/j.jaccas.2020.02.026
Descripción
Sumario:A 52-year-old man following surgery for Ebstein’s anomaly after repair developed acute hemodynamically significant left ventricular outflow tract obstruction with systolic anterior motion of the mitral valve and severe mitral regurgitation. Fluid resuscitation and weaning of inotropes were unsuccessful. Left ventricular outflow tract obstruction and mitral regurgitation resolved by using esmolol. (Level of Difficulty: Intermediate.)

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