HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Rietman, G.W. Articles by Boonstra, P.W. Search for Related Content PubMed PubMed Citation Articles by Rietman, G.W. Articles by Boonstra, P.W. Related Collections Anesthesia Cardiac - physiology Cardiac - other Valve disease

Eur J Cardiothorac Surg 2002;22:825-827
© 2002 Elsevier Science NL

How-to-do-it

Echocardiographic diagnosis of left ventricular outflow tract obstruction after mitral valve replacement with subvalvular preservation

^a Department of Anesthesiology, University Hospital Groningen, Hanzeplein 1, 9700 RB Groningen, The Netherlands
^b Department of Cardiothoracic Surgery, University Hospital Groningen, Hanzeplein 1, 9700 RB Groningen, The Netherlands

Received 15 February 2002; received in revised form 3 July 2002; accepted 26 July 2002.

* Corresponding author. Tel.: +31-50-361-3690; fax: +31-50-361-3763
e-mail: g.w.rietman{at}anest.azg.nl

We describe two cases of left ventricular outflow tract obstruction after mitral valve replacement with complete retention of the subvalvular apparatus. The first patient deteriorated immediately after insertion of a high-profile bioprosthesis. In the second patient, chronic left ventricular outflow tract obstruction developed after the insertion of a low-profile mechanical prosthesis. The clinical course of left ventricular outflow tract obstruction after mitral valve replacement with complete retention of the subvalvular apparatus may differ greatly. Evaluation of the left ventricular outflow tract by perioperative transesophageal echocardiography or epicardial echocardiography is essential in the prevention and treatment of this complication.

Key Words: Mitral valve • Surgery • Echocardiography • Ventricular outflow obstruction

This article has been cited by other articles:

				Q. Wu, L. Zhang, and R. Zhu Obstruction of left ventricular outflow tract after mechanical mitral valve replacement. Ann. Thorac. Surg., May 1, 2008; 85(5): 1789 - 1791. [Abstract] [Full Text] [PDF]

				T. Athanasiou, A. Chow, C. Rao, O. Aziz, F. Siannis, A. Ali, A. Darzi, and F. Wells Preservation of the mitral valve apparatus: evidence synthesis and critical reappraisal of surgical techniques Eur. J. Cardiothorac. Surg., March 1, 2008; 33(3): 391 - 401. [Abstract] [Full Text] [PDF]

				D. G. Nezic, M. M. Vukovic, M. V. Cirkovic, A. M. Knezevic, M. Dj. Jovic, and M. M. Jakovljevic An unusual complication after chordal sparing mitral valve replacement J. Thorac. Cardiovasc. Surg., February 1, 2004; 127(2): 599 - 600. [Full Text] [PDF]