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Dynamic left ventricular outflow tract obstruction complicating bilateral lung transplantation
William Murtha1, Craig Guenther
1Division of Cardiovascular Anesthesia, University of Alberta, Edmonton, Alberta, Canada. wmurtha@ualberta.ca
Anesthesia and Analgesia
|February 28, 2002
Summary
Dynamic left ventricular outflow tract obstruction (DLVOTO) can occur after lung transplants. Transesophageal echocardiography (TEE) is crucial for diagnosing and managing this often-unrecognized condition.
Area of Science:
- Cardiology
- Transplant Surgery
- Medical Imaging
Background:
- Dynamic left ventricular outflow tract obstruction (DLVOTO) is a known complication in various clinical settings.
- Its occurrence following orthotopic lung transplantation has not been previously documented.
Observation:
- DLVOTO was identified as an adverse event in a patient undergoing orthotopic lung transplantation.
- The clinical presentation and diagnosis were facilitated by transesophageal echocardiography (TEE).
Findings:
- Transesophageal echocardiography (TEE) enabled the prompt diagnosis of DLVOTO in the context of lung transplantation.
- TEE guided the effective management of this critical complication.
Implications:
- Dynamic left ventricular outflow tract obstruction is frequently unrecognized, despite its potential impact.
- Transesophageal echocardiography (TEE) is essential for the rapid recognition and treatment of DLVOTO.
- This case supports the routine availability of TEE for evaluating hemodynamic instability in transplant patients.