Triple left ventricular outflow tract obstruction

Publication Date

2011

Journal Title

Eur J Echocardiogr

Abstract

A 59-year-old man had, over a period of 5 years, three different clinical scenarios which led to dynamic left ventricular outflow tract obstruction (LVOTO). Initially, this man who suffered from hypertrophic cardiomyopathy presented with asymmetric septal hypertrophy and systolic anterior motion (SAM) of the anterior mitral leaflet, along with mitral regurgitation. He was treated by septal myectomy and mitral valve repair with insertion of an artificial mitral ring. Several years later, he presented with severe LVOTO, this time related to the anteriorly displaced mitral coaptation site and the prosthetic ring. The ring and the anterior mitral leaflet were resected and a prosthetic mitral valve implanted. Several years later, the patient presented with LVOTO for a third time. It was now SAM of the remaining posterior leaflet that was responsible for the LVOTO. © The Author 2011.

Volume Number

12

Issue Number

9

Pages

E37

Document Type

Article

Status

Faculty

Facility

School of Medicine

Primary Department

Cardiology

PMID

21821610

DOI

10.1093/ejechocard/jer130

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