Anterior Myocardial Infarction With Dynamic Left Ventricular Outflow Tract Obstruction

We present the case of a 78-year-old woman who presented with acute anterior myocardial infraction. An intraoperative transesophageal echocardiogram revealed an akinetic apex with hyperkinesis of the basal segments causing systolic anterior motion of the mitral valve. The patient was immediately pla...

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Bibliographic Details
Published inThe Annals of thoracic surgery Vol. 91; no. 3; pp. e39 - e40
Main Authors Matyal, Robina, MD, Warraich, Haider J., MD, Karthik, Swaminathan, MD, Panzica, Peter, MD, Shahul, Sajid, MD, Khabbaz, Kamal R., MD, Mahmood, Feroze, MD
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Inc 01.03.2011
Subjects
Aged
Cardiac Catheterization
Cardiothoracic Surgery
Diagnosis, Differential
Echocardiography
Electrocardiography
Female
Humans
Myocardial Infarction - complications
Myocardial Infarction - diagnosis
Surgery
Ventricular Outflow Obstruction - diagnosis
Ventricular Outflow Obstruction - etiology
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Summary:We present the case of a 78-year-old woman who presented with acute anterior myocardial infraction. An intraoperative transesophageal echocardiogram revealed an akinetic apex with hyperkinesis of the basal segments causing systolic anterior motion of the mitral valve. The patient was immediately placed on cardiopulmonary bypass. Her postoperative course was uneventful. We present transesophageal and transthoracic echocardiographic videos showing this unique complication and describing the challenge of managing a patient who required opposing therapies.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:0003-4975
1552-6259
DOI:10.1016/j.athoracsur.2010.10.087