[Dynamic left intraventricular obstruction after reconstructive mitral valve surgery].
A 71-years-old patient, undergoing mitral valve repair for degenerative valvulopathy and correction of pectus excavatus experienced a cardiogenic shock after weaning from cardiopulmonary bypass. The shock occurred after calcium chloride administration and was unresponsive to inotropic drugs. Transoesophageal echocardiography showed left ventricular outflow tract obstruction due to systolic anterior motion (SAM) of the mitral valve. Discontinuation of inotropic drugs and volume expansion restored the haemodynamic status. By its haemodynamic effects calcium chloride can cause left ventricular outflow tract obstruction, recognized by transoesophageal echocardiography.
Trabold
F
F
Département d'anesthésie-réanimation, hôpital Broussais, Paris, France.
Wernet
A
A
Olivier
P
P
Sirieix
D
D
Meimoun
P
P
Baron
J F
JF
D000368:Aged; D002122:Calcium Chloride / Q000008:administration & dosage / Q000009:adverse effects; D017548:Echocardiography, Transesophageal; D005660:Funnel Chest / Q000601:surgery; D006439:Hemodynamics / Q000187:drug effects; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000187:drug effects / Q000503:physiopathology / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D010952:Plasma Substitutes / Q000627:therapeutic use; D011183:Postoperative Complications; D012770:Shock, Cardiogenic / Q000139:chemically induced; D014694:Ventricular Outflow Obstruction / Q000000981:diagnostic imaging / Q000209:etiology*
D010952:Plasma Substitutes; D002122:Calcium Chloride
Obstruction dynamique intraventriculaire gauche après chirurgie réparatrice valvulaire mitrale.