Abstract
The case is presented of dynamic left ventricular mid-cavitary obstruction that complicated the postoperative course following aortic valve replacement and coronary artery bypass grafting. The condition resolved with appropriate medical management, without further surgical intervention. It is hypothesized that this was due to both concentric left ventricular hypertrophy and direct diastolic ventricular interaction.
MeSH terms
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Aged
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Aortic Valve Stenosis / complications
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Aortic Valve Stenosis / diagnostic imaging
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Aortic Valve Stenosis / surgery
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Combined Modality Therapy
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Coronary Angiography
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Coronary Artery Bypass / adverse effects*
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Coronary Artery Bypass / methods
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Coronary Stenosis / complications
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Coronary Stenosis / diagnostic imaging
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Coronary Stenosis / surgery
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Follow-Up Studies
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Heart Valve Prosthesis Implantation / adverse effects*
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Heart Valve Prosthesis Implantation / methods
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Humans
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Hypertrophy, Left Ventricular / diagnostic imaging
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Hypertrophy, Left Ventricular / etiology*
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Hypertrophy, Left Ventricular / therapy
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Male
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Postoperative Complications / therapy
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Risk Assessment
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Severity of Illness Index
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Ultrasonography, Doppler
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Ventricular Outflow Obstruction / diagnostic imaging
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Ventricular Outflow Obstruction / etiology*
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Ventricular Outflow Obstruction / therapy