Home > Journals > Minerva Anestesiologica > Past Issues > Minerva Anestesiologica 2001 July-August;67(7-8) > Minerva Anestesiologica 2001 July-August;67(7-8):579-82

CURRENT ISSUE
 

JOURNAL TOOLS

eTOC
To subscribe
Submit an article
Recommend to your librarian
 

ARTICLE TOOLS

Reprints
Permissions

 

  CLINICAL CASES Freefree

Minerva Anestesiologica 2001 July-August;67(7-8):579-82

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: Italian

Transesophageal echocardiography in dynamic obstruction of the left ventricular outflow due to mitral valve surgery. Case report

Scardia M., De Razza L.

A. O. «V. Fazzi» - Lecce Cardioanestesia e UTI Cardiochirurgica


PDF


The authors report a case of dynamic obstruction of the ventricular outflow due to mitral valve surgery (valvuloplasty) in a 70-year-old woman with posterior leaflet mitral prolapse and severe regurgitation associated with anomalous implant of the posterior papillary muscle and increased thickness of the basal interventricular septum. Mitral valve surgery, possible for isolated prolapse of the LPM, although myectomy of the SIV has been performed, has determined onset of a systolic anterior motion (SAM), responsible of the dynamic obstruction. The diagnosis by means of transesophageal echocardiography (TEE) of the secondary SAM has allowed to optimise therapy (suspension of the inotropic drug, increase of volemia) with rapid improvement of hemodynamic conditions and in the following controls at is possible to observe a remodelling of the left ventricular geometry with pressure gradient reduction.

top of page