DYNAMIC LEFT-VENTRICULAR OUTFLOW OBSTRUCTION RELATED TO ATRIAL-FIBRILLATION

被引:7
作者
VAUGHNWHITLEY, K
MOOSS, A
机构
[1] Division of Cardiology, Creighton Univ. School of Medicine, Omaha, NE
关键词
D O I
10.1378/chest.102.5.1618
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
A 48-year-old male patient underwent mitral annuloplasty for severe mitral regurgitation secondary to myxomatous degeneration of the mitral valve, with ruptured chordae. Intraoperative transesophageal echocardiography showed satisfactory repair. The patient developed postoperative atrial fibrillation and clinical and echocardiographic evidence of left ventricular outflow obstruction. Following conversion to sinus rhythm, the evidence for left ventricular outflow obstruction markedly improved. We suggest that postoperative atrial fibrillation may precipitate dynamic left ventricular outflow obstruction following mitral annuloplasty.
引用
收藏
页码:1618 / 1619
页数:2
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