DYNAMIC LEFT VENTRICULAR OUTFLOW TRACT OBSTRUCTION COMPLICATING AORTIC VALVE REPLACEMENT: A HIDDEN MALEFACTOR REVISITED

Dynamic left ventricular outflow tract obstruction complicating aortic valve replacement: A hidden malefactor revisited

Dynamic left ventricular outflow tract obstruction complicating aortic valve replacement: A hidden malefactor revisited

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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 hardware 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 Mattress Overlays and potentially fatal complication following AVR.

The possible mechanisms and treatment options are reviewed.

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