Dynamic Left Ventricular Outflow Tract Obstruction Exacerbated by Thoracic Kyphosis
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Updated: Aug 10, 2025

Modified Posterior Vertebral Column Resection for Patients with Thoracolumbar Kyphotic Deformity
Published on: September 16, 2022
Mohamad S Alabdaljabar1, Mackram F Eleid2
1Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Abstract:
We present a 74-year-old woman with kyphosis and symptoms of pre/syncope. Heart catheterization revealed dynamic left ventricular outflow tract obstruction (DLVOTO) with Brockenbrough Braunwald response only when kyphotic posture was assumed. She had a positive response to metoprolol. DLVOTO is a challenging diagnosis in the absence of resting LVOTO. (Level of Difficulty: Beginner.).
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