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Anesth Analg 2002;94:558-559
© 2002 International Anesthesia Research Society

CARDIOVASCULAR ANESTHESIA

Dynamic Left Ventricular Outflow Tract Obstruction Complicating Bilateral Lung Transplantation

William Murtha, MB BS, FANZCA, FFICANZCA, and Craig Guenther, MD FRCP(C)

Division of Cardiovascular Anesthesia, University of Alberta, Edmonton, Alberta, Canada

Address correspondence and reprint requests to Dr. W. Murtha, Department of Anesthesia and Pain Medicine, Walter C. Mackenzie Health Sciences Center, Edmonton, Alberta, Canada T6G 2B7. Address e-mail to wmurtha{at}ualberta.ca

Dynamic left ventricular outflow tract obstruction (DLVOTO) has been observed in a variety of clinical circumstances but not previously reported in the setting of orthotopic lung transplantation. Diagnosis and effective management of this adverse event were facilitated by transesophageal echocardiography (TEE).

IMPLICATIONS: Dynamic left ventricular outflow tract obstruction is not an uncommon phenomenon, but it is often unrecognized. Its rapid recognition and effective treatment was only possible with transesophageal echocardiography (TEE). This contributes to the support for TEE being routinely available for assessment of hemodynamic instability.






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins and Stanford University Libraries' HighWire Press®. Copyright 2002 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2002 by the International Anesthesia Research Society.