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Case Report Open Access
Volume 5 | Issue 1 | DOI: https://doi.org/10.33696/cardiology.5.049

Intermittent Pre-Syncope after Surgical Correction of Aortic Stenosis Caused by Left Ventricular Outflow Obstruction by Elongated Mitral Leaflets

  • 1Institute of Public Health and Clinical Medicine, Umeå University, Sweden
+ Affiliations - Affiliations

Corresponding Author

Michael Henein, michael.henein@umu.se

Received Date: December 12, 2023

Accepted Date: January 17, 2024

Abstract

Left ventricular outflow obstruction (LVOTO) is a potential complication following surgical replacement of the aortic valve. We present an 88-year-old man who experienced periodic episodes of pre-syncope following aortic valve replacement. The underlying cause was identified as LVOTO resulting from elongated mitral valve leaflets. The diagnosis was established using stress echocardiography, which detected transient LVOTO with moderate rise in heart rate. The medical approach involved administering beta-blockers and optimising hydration consumption. The patient's symptoms and quality of life showed considerable improvement during the six-month follow-up period. Timely identification and intervention are essential in managing left ventricular outflow tract obstruction (LVOTO) after aortic valve replacement, to mitigate the risk of potential adverse cardiac events.

Keywords

Intermittent pre-syncope episodes, Left ventricular outflow obstruction, Elongated mitral valve leaflets, Aortic stenosis, Stress echocardiogram

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