Paradoxical Increase in Left Ventricular Outflow Tract Gradient in a Patient Undergoing Mitral Valve Repair and Septal Myectomy

The Doppler-derived gradient depends on the magnitude of the flow across a narrowed orifice and the alignment of the Doppler with the flow. Septal myectomy is indicated in symptomatic obstructive hypertrophic cardiomyopathy (HCM) patients with peak instantaneous gradient > 50 mmHg. Chordal ruptur...

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Bibliographic Details
Main Authors: Devika Poduval, Thushara Madathil, P Nagarjuna, Tony Joseph, Praveen Varma, PK Neema
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-07-01
Series:Annals of Cardiac Anaesthesia
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Online Access:https://journals.lww.com/10.4103/aca.aca_225_24
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