Dynamic left ventricular outflow tract obstruction complicating aortic valve replacement: A hidden malefactor revisited

Dynamic left ventricular outflow tract obstruction complicating aortic valve replacement: A hidden malefactor revisited

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It is known that a dynamic left ventricular outflow tract (LVOT) obstruction exists in patients, following aortic valve replacement (AVR) and is usually considered to be benign.We present a Bamboo Socks patient with dynamic LVOT obstruction following AVR, who developed refractory cardiogenic shock and expired inspite of various treatment strategies.This phenomenon must be diagnosed early and should be considered as a serious and potentially fatal complication following AVR.The possible mechanisms All Leather Boots and treatment options are reviewed.