Left ventricular outflow tract obstruction with systolic anterior motion of the mitral valve in patient with pericardial effusion caused by ascending aortic dissection: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 73-76, 2013.
Article
in English
| WPRIM
| ID: wpr-22384
ABSTRACT
Left ventricular outflow tract (LVOT) obstruction with systolic anterior motion (SAM) of mitral valve is not only limited to patients with hypertrophic cardiomyopathy. A diagnosis of LVOT obstruction with SAM is important because conventional inotropic support may potentially aggravate hemodynamic deterioration. We present a case of LVOT obstruction with SAM in a patient who underwent an emergent surgery for ascending aortic dissection with pericardial effusion. The patient showed refractory hypotension after standard pharmacologic interventions during induction of anesthesia. Transesophageal echocardiography (TEE) revealed LVOT obstruction with SAM and it was managed appropriately under the guidance of TEE. Intraoperative TEE can play an important role in diagnosis and management of LVOT obstruction with SAM caused by pericardial effusion.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pericardial Effusion
/
Cardiomyopathy, Hypertrophic
/
Echocardiography, Transesophageal
/
Hemodynamics
/
Hypotension
/
Anesthesia
/
Mitral Valve
Type of study:
Practice guideline
Limits:
Humans
Language:
English
Journal:
Korean Journal of Anesthesiology
Year:
2013
Type:
Article
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