Dynamic Left Ventricular Outflow Obstruction and Systolic Anterior Motion of the Mitral Valve Complicating Surgical Aortic Valve Replacement

2019 ◽  
Vol 33 (3) ◽  
pp. 858-862
Author(s):  
Alexander Shapeton
2002 ◽  
Vol 130 (3-4) ◽  
pp. 81-86
Author(s):  
Andjelka Ristic-Andjelkov

In adults with significant sympthomatic aortic valve stenosis, aortic valve replacement is therapy of choice. Replacement of the diseased aortic valve with a prosthetic valve yields relief of left ventricular outflow obstruction. Myocardial remodeling with regression of mass transpires as the heart adapts to the new level of after load. In patients with moderate left ventricular hypertrophy improvement in diastolic function during the first year after aortic valve replacement is visible, while in patients with extreme myocardial hypertrophic changes it was slower.


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