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Dynamic left ventricular outflow obstruction in situs inversus with levocardia

Kazuhito Hirata1, Toshiho Tengan2, Hidemitsu Mototake2

  • 1Department of Cardiology, Okinawa Chubu Hospital, Uruma, Japan.

BMJ Case Reports
|December 3, 2015
PubMed

Insights

This study describes a rare case of dynamic left ventricular outflow tract obstruction in a patient with complex congenital heart malposition. Surgical intervention successfully resolved the obstruction and improved the patient's condition.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Cardiac Surgery

Background:

  • A 69-year-old male presented with situs inversus, levocardia, and inverted great arteries.
  • The patient developed severe dynamic left ventricular outflow tract (LVOT) obstruction.
  • Systolic anterior motion of the anterior mitral leaflet was observed, without asymmetric septal hypertrophy.

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