Left Ventricular Outflow Tract Obstruction Masked by Severe Aortic Stenosis

Overview

Journal Gen Thorac Cardiovasc Surg

Specialties Cardiology & Vascular Diseases
General Surgery
Pulmonary Medicine

Date 2015 Sep 13

PMID 26362052

Citations 2

Authors

Shinya Fukui

Masataka Mitsuno

Mitsuhiro Yamamura

Hiroe Tanaka

Masaaki Ryomoto

Tetsuya Kajiyama

Ayaka Sato

Yuji Miyamoto

Affiliations

Soon will be listed here.

Abstract

An 81-year-old woman developed severe hemolytic anemia after aortic valve replacement. The anemia was not caused by paravalvular leakage, as in most cases. Instead, it occurred secondary to left ventricular outflow tract obstruction that had not been seen preoperatively and was induced by afterload reduction following aortic valve replacement. The hemolytic anemia was drug-refractory and finally treated with dual-chamber pacing, as for hypertrophic cardiomyopathy.

Citing Articles

Case Report: Mechanical hemolysis resulting from left ventricular outflow tract obstruction after aortic valve replacement relieved by transapical beating-heart septal myectomy.

Kang Q, Tian J, Zhu Y, Zhou W, Wei X, Liu Y Front Cardiovasc Med. 2024; 11:1410222.

PMID: 39055661 PMC: 11269188. DOI: 10.3389/fcvm.2024.1410222.

Evaluation and Management of Concomitant Hypertrophic Obstructive Cardiomyopathy and Valvular Aortic Stenosis.

Shenouda J, Silber D, Subramaniam M, Alkhatib B, Schwartz R, Goncalves J Curr Treat Options Cardiovasc Med. 2016; 18(3):17.

PMID: 26874705 DOI: 10.1007/s11936-016-0440-3.

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