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Graft Traction Resolved Left Ventricular Outflow Tract Obstruction. | LitMetric

AI Article Synopsis

  • A 76-year-old woman was hospitalized for an ascending aortic aneurysm, which caused obstruction in her left ventricular outflow tract and issues with her mitral valve.
  • Echocardiography revealed high flow velocity in the outflow tract, a warped septum, and some mitral valve regurgitation due to these issues.
  • After replacing the ascending aorta with a graft, both the outflow tract obstruction and mitral valve problems were resolved, likely due to the graft alleviating pressure on nearby structures.

Article Abstract

We admitted a 76-year-old woman for treatment of an ascending aortic aneurysm with left ventricular outflow tract (LVOT) obstruction and systolic anterior motion (SAM) of the mitral valve. Echocardiography showed an elevated velocity of the LVOT flow with a sigmoid septum. Mild mitral regurgitation was also detected due to SAM. We performed a graft replacement of the ascending aorta, after which the LVOT obstruction and SAM were resolved. We report a case in which the traction of a graft likely released the compression on the aortic root and ventricular septum.

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Source
http://dx.doi.org/10.1016/j.athoracsur.2020.09.073DOI Listing

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