Left ventricular outflow tract obstruction after mitral valve repair.

被引：1
|
作者：
Trabold, F [1 ]
Wernet, A [1 ]
Olivier, P [1 ]
Sirieix, D [1 ]
Meimoun, P [1 ]
Baron, JF [1 ]
机构：
[1] Hop Broussais, Dept Anesthesie Reanimat, Serv Nadia Bouchet, F-75014 Paris, France
来源：
ANNALES FRANCAISES D ANESTHESIE ET DE REANIMATION | 1998年 / 17卷 / 09期
关键词：
mitral valve repair; transoesophageal echocardiography;
D O I：
10.1016/S0750-7658(00)80011-8
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
A 71-years-old patient, undergoing mitral valve repair for degenerative valvulopathy and correction of pectus excavatus experienced a cardiogenic shock after weaning from cardiopulmonary bypass. The shock occurred after calcium chloride administration and was unresponsive to inotropic drugs. Transoesophageal echocardiography showed left ventricular outflow tract obstruction due to systolic anterior motion (SAM) of the mitral valve. Discontinuation of inotropic drugs and volume expansion restored the haemodynamic status. By its haemodynamic effects calcium chloride can cause left ventricular outflow tract obstruction, recognized by transoesophageal echocardiography. (C) 1998 Elsevier, Paris.
引用
收藏
页码：1152 / 1155
页数：4
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