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Updated: Aug 11, 2026

Noninvasive Determination of Vortex Formation Time Using Transesophageal Echocardiography During Cardiac Surgery
Published on: November 28, 2018
Severe volume depletion leading to mitral insufficiency
Alexandre C Ferreira1, Arley Arrais Peter, Simon Chakko
1Department of Medicine, Division of Cardiology, Cardiovascular Center, University of Miami, Miami, Florida, USA.
Abstract:
We report a patient with profound hypovolemia who developed dynamic left ventricular outflow tract obstruction and severe mitral regurgitation. Both the outflow tract obstruction and mitral regurgitation resolved with volume replacement. Unlike previous reports of dynamic left ventricular outflow obstruction and mitral regurgitation, the degree of mitral regurgitation was severe. Possible mechanisms are discussed.
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