ReviewAnnals of cardiac anaesthesia
Left ventricular outflow tract obstruction following aortic valve replacement: A review of risk factors, mechanism, and management.
Review in Annals of cardiac anaesthesia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Percutaneous Intramyocardial Septal Radiofrequency Ablation in Patients With Drug-Refractory Hypertrophic Obstructive Cardiomyopathy.JAMA cardiology · 2022Trial
- Continuous Assessment of Left Ventricular Outflow Obstruction in Transcatheter Aortic Valve Implantation.JACC. Case reports · 2026Article
- Vasopressin role in hypertrophic obstructive cardiomyopathy post-cardiac surgery: A case report.World journal of critical care medicine · 2025Article
- Article
- Mavacamten in Symptomatic Patients Resistant to Previous Advanced Therapy for Obstructive Hypertrophic Cardiomyopathy.Journal of the American Heart Association · 2025Article
- From Severe Aortic Stenosis to Mitral TEER: Overcoming Surgical AVR Complicated With LVOTO.JACC. Case reports · 2025Article
- A case report of ventricular suicide following transcatheter aortic valve replacement for severe aortic stenosis in a patient with hypertrophic cardiomyopathy: the danger of abrupt afterload reduction.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2025Article
- Outcomes of transcatheter aortic valve replacement in patients with hypertrophic cardiomyopathy: a systematic review.Annals of translational medicine · 2025Review
- Conservative Management of Suicide Left Ventricle After Surgical Aortic Valve Replacement.Cureus · 2023Article
- Unexpected suicide left ventricle post-surgical aortic valve replacement requiring veno-arterial extracorporeal membrane oxygenation support despite gold-standard therapy: a case report.European heart journal. Case reports · 2022Article
- Urgent percutaneous transluminal septal myocardial ablation for left ventricular outflow tract obstruction exacerbated after surgical aortic valve replacement.Clinical case reports · 2021Article
- How to Image and Manage Prosthesis-Related Complications After Transcatheter Aortic Valve Replacement.Current cardiology reports · 2021Review
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The presence of dynamic left ventricular outflow tract obstruction (LVOTO) can complicate the postoperative course of patients undergoing surgical aortic valve replacement (AVR). The phenomenon of LVOTO is a consequence of an interplay of various pathoanatomic mechanisms. The prevailing cardiovascular milieu dictates the hemodynamic significance of the resultant LVOTO in addition to the anatomical risk factors. A thorough understanding of the predisposing factors, mechanism, and hemodynamic sequel of the obstruction is pivotal in managing these cases. A comprehensive echocardiographic examination aids in risk prediction, diagnosis, severity characterization, and follow-up of management efficacy in the setting of postoperative LVOTO. The armamentarium of management modalities includes conservative (medical) and surgical options. A stepwise approach should be formulated based on the physiological and anatomical substrates predisposing to LVOTO. The index phenomenon occurs more frequently than appreciated and should be considered when the post-AVR patients exhibit hemodynamic instability unresponsive to conventional supportive measures. The present article provides an overview of various peculiarities of this under-recognized phenomenon in the context of the perioperative management of patients undergoing AVR.
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