712-5 Dynamic Left Ventricular Outflow Tract Obstruction Immediately Following Aortic Valve Replacement: Detection by Intra-operative Trans-esophageal Echocardiography

Autor: Murthy, Dakshina R., Chen, Chunguang, Paradis, Marc A., Low, Henry B., Takata, Hiro, Ellison, Lee H., Preissler, Paul, Krupowies, Nancy, Gillam, Linda D.
Zdroj: Journal of the American College of Cardiology; February 1995, Vol. 25 Issue: 2, Number 2 Supplement 1 p83A-83A, 1p
Abstrakt: Aortic valve replacement (AVR) produces dramatic acute changes in left ventricular loading conditions that may provide a substrate for dynamic left ventricular outflow tract (LVOT) obstruction, particularly in the context of inotropic stimulation. This and related abnormalities have been described postoperatively, but their occurrence intra-operatively immediately post AVR has not been examined. To assess the prevalence and clinical impact of this phenomenon, intra-operative transesophageal echocardiography (TEE) was performed in 72 patients undergoing aortic valve replacement (AVR) for aortic stenosis (n=28) aortic regurgitation (n=15), or mixed aortic valve disease (n=29). There were 31 bioprostheses, 23 mechanical valves, and 18 homografts/autografts.
Databáze: Supplemental Index