Commentary: Beyond the boundaries of left ventricular outflow tract obstructionCentral Message
Igor Belluschi, MD, Mattia Glauber, MD, Antonio Miceli, MD, PhD
JTCVS Open · 2021
doi:10.1016/j.xjon.2021.06.003 (opens in a new tab)
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Abstract
The hemodynamic assessment of left ventricular outflow tract (LVOT) obstruction after mitral valve replacement has always represented a challenge. High interference with LVOT anatomy and function could be responsible for poor surgical outcomes, especially in patients affected by hypertrophic cardiomyopathy, with an unfavorable mitroaortic angles and small left ventricle dimensions.1 The preservation of anterior mitral leaflet (AML) limits left ventricle impairment2; however, its full retention may increase the risk of LVOT, causing interference and obstruction during systole.
Abstract licence: CC BY-NC-ND
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