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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Bibliographic Details
Published in:JACC. Case reports 2020-05, Vol.2 (5), p.725-731
Main Authors: Rafiq, Isma, Khokhar, Arif A., Alonso-Gonzalez, Rafael, Ghez, Olivier, Kempny, Aleksander, Dimopoulos, Konstantinos
Format: Article
Language:English
Subjects:
Ebstein’s anomaly
left ventricle
Mini-Focus Issue: Congenital Heart Disease
postoperative
tricuspid valve
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Summary: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.) [Display omitted] A 52-year-old man following surgery for Ebstein anomaly after repair developed acute hemodynamically significant left ventricular outflow tract…
ISSN:2666-0849
2666-0849
DOI:10.1016/j.jaccas.2020.02.026