CASE REPORT
Year : 2010  |  Volume : 4  |  Issue : 2  |  Page : 99-101

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


1 Department of Cardiology, Royal Hospital, Muscat, Oman
2 Department of Anesthesia, Royal Hospital, Muscat, Oman
3 Department of Cardiothora Surgery, Royal Hospital, Muscat, Oman

Correspondence Address:
Prashanth Panduranga
Department of Cardiology, Royal Hospital, Post Box 1331, Muscat-111
Oman
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1658-354X.65118

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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 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 and potentially fatal complication following AVR. The possible mechanisms and treatment options are reviewed.


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