Dynamische Obstruktion des linksventrikularen Ausflusstraktes: chirurgische Problematik. [Dynamic obstruction of the left ventricular outflow tract: surgical problems]

Details

Serval ID
serval:BIB_12D4284AC017
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Dynamische Obstruktion des linksventrikularen Ausflusstraktes: chirurgische Problematik. [Dynamic obstruction of the left ventricular outflow tract: surgical problems]
Journal
Schweizerische Rundschau fur Medizin Praxis
Author(s)
Zund  G., Pasic  M., Carrel  T., von Segesser  L. K., Jenni  R., Turina  M.
ISSN
1013-2058
Publication state
Published
Issued date
05/1994
Volume
83
Number
19
Pages
570-2
Notes
Case Reports
English Abstract
Journal Article --- Old month value: May 10
Abstract
Dynamic subaortic obstruction caused by septal hypertrophy may worsen the hemodynamics in some patients after heart surgery. Resection of the hypertrophied septum allows normal left ventricular function. We describe two patients with subaortic stenosis and a complicated postoperative course following heart surgery and additional resection of the subaortic muscular stenosis. One patient was reoperated because of residual obstruction of the left ventricular outflow tract; the postoperative course was uneventful thereafter. The second patient died after the primary surgery because of low output syndrome and sepsis. The postoperative management of this group of patients is difficult, demanding frequent assessment of the patient's hemodynamic condition and echocardiographic surveillance.
Keywords
Aged Cardiomyopathy, Hypertrophic/*physiopathology/surgery Echocardiography Fatal Outcome Female *Hemodynamics Humans Middle Aged Postoperative Complications/etiology/surgery Reoperation Ventricular Outflow Obstruction/*physiopathology/ultrasonography
Pubmed
Create date
14/02/2008 14:19
Last modification date
20/08/2019 12:41
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