Severe Left Ventricular Outflow Tract Obstruction Immediately After Surgical Repair of Ebstein’s Anomaly

Isma Rafiq, BSc, MBBS; Arif A. Khokhar, BM, BCh, MA; Rafael Alonso-Gonzalez, MD, MSc; Olivier Ghez, MD; Aleksander Kempny, MD; Konstantinos Dimopoulos, MD, MSc, PhD

JACC: Case Reports (May 2020)

Severe Left Ventricular Outflow Tract Obstruction Immediately After Surgical Repair of Ebstein’s Anomaly

Isma Rafiq, BSc, MBBS,
Arif A. Khokhar, BM, BCh, MA,
Rafael Alonso-Gonzalez, MD, MSc,
Olivier Ghez, MD,
Aleksander Kempny, MD,
Konstantinos Dimopoulos, MD, MSc, PhD

Affiliations

Isma Rafiq, BSc, MBBS: Adult Congenital Heart Centre and National Centre for Pulmonary Hypertension, Royal Brompton Hospital, London, United Kingdom
Arif A. Khokhar, BM, BCh, MA: Adult Congenital Heart Centre and National Centre for Pulmonary Hypertension, Royal Brompton Hospital, London, United Kingdom
Rafael Alonso-Gonzalez, MD, MSc: Adult Congenital Heart Centre and National Centre for Pulmonary Hypertension, Royal Brompton Hospital, London, United Kingdom; NIHR Cardiovascular Biomedical Research Unit, Royal Brompton Hospital and National Heart and Lung Institute, Imperial College London, London, United Kingdom
Olivier Ghez, MD: Department of Cardiac Surgery, Royal Brompton Hospital, London, United Kingdom
Aleksander Kempny, MD: NIHR Cardiovascular Biomedical Research Unit, Royal Brompton Hospital and National Heart and Lung Institute, Imperial College London, London, United Kingdom; Department of Cardiac Surgery, Royal Brompton Hospital, London, United Kingdom
Konstantinos Dimopoulos, MD, MSc, PhD: Adult Congenital Heart Centre and National Centre for Pulmonary Hypertension, Royal Brompton Hospital, London, United Kingdom; NIHR Cardiovascular Biomedical Research Unit, Royal Brompton Hospital and National Heart and Lung Institute, Imperial College London, London, United Kingdom; Address for correspondence: Dr. Konstantinos Dimopoulos, Adult Congenital Heart Centre, Royal Brompton and Harefield NHS Foundation Trust, Sydney Street, SW3 6NP London, United Kingdom.

Journal volume & issue: Vol. 2, no. 5
pp. 725 – 731

Abstract

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A 52-year-old man following surgery for Ebstein’s anomaly after repair developed acute hemodynamically significant left ventricular outflow tract obstruction with systolic anterior motion of the mitral valve and severe mitral regurgitation. Fluid resuscitation and weaning of inotropes were unsuccessful. Left ventricular outflow tract obstruction and mitral regurgitation resolved by using esmolol. (Level of Difficulty: Intermediate.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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