Transient severe left ventricular diastolic dysfunction during intraoperative transesophageal echocardiography--a case report.
A 55-year-old man with significant lesion of left anterior descending artery and left ventricular systolic dysfunction, became candidate for coronary artery bypass grafts surgery. Intraoperative transesophageal echocardiography (TEE) was done for evaluation of severity of mitral regurgitation. During surgery, suddently systolic blood pressure dropped to 50 mmHg and lasted for 2 minutes and grade III left ventricular (LV) diastolic dysfunction occurred. After restoring blood pressure to 110/60 mmHg, LV diastolic pattern returned to baseline pattern. The decreased coronary perfusion pressure and its effect on diastolic function may be responsible for this pattern of diastolic dysfunction.
Farahani
Maryam Moshkani
MM
Baghiatollah University of Medical Sciences, Tehran, Iran. moshkani_farahani@yahoo.com
Samiee
Niloofar
N
Bagherzadeh
Ata Allah
AA
Haghjoo
Majid
M
D001794:Blood Pressure / Q000502:physiology; D002316:Cardiotonic Agents / Q000627:therapeutic use; D001026:Coronary Artery Bypass; D003326:Coronary Circulation / Q000502:physiology; D017548:Echocardiography, Transesophageal; D006801:Humans; D007431:Intraoperative Complications / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging; D016343:Monitoring, Intraoperative; D009204:Myocardial Revascularization; D018487:Ventricular Dysfunction, Left / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000503:physiopathology
D002316:Cardiotonic Agents