Dynamische Obstruktion des linksventrikularen Ausflusstraktes: chirurgische Problematik. [Dynamic obstruction of the left ventricular outflow tract: surgical problems]
Détails
ID Serval
serval:BIB_12D4284AC017
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Dynamische Obstruktion des linksventrikularen Ausflusstraktes: chirurgische Problematik. [Dynamic obstruction of the left ventricular outflow tract: surgical problems]
Périodique
Schweizerische Rundschau fur Medizin Praxis
ISSN
1013-2058
Statut éditorial
Publié
Date de publication
05/1994
Volume
83
Numéro
19
Pages
570-2
Notes
Case Reports
English Abstract
Journal Article --- Old month value: May 10
English Abstract
Journal Article --- Old month value: May 10
Résumé
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.
Mots-clé
Aged
Cardiomyopathy, Hypertrophic/*physiopathology/surgery
Echocardiography
Fatal Outcome
Female
*Hemodynamics
Humans
Middle Aged
Postoperative Complications/etiology/surgery
Reoperation
Ventricular Outflow Obstruction/*physiopathology/ultrasonography
Pubmed
Création de la notice
14/02/2008 15:19
Dernière modification de la notice
20/08/2019 13:41