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Ann Thorac Surg 1994;58:890-891
© 1994 The Society of Thoracic Surgeons

Articles

Mechanical flow obstruction after heart transplantation diagnosed by TEE

Jean-Luc Canivet, MD*, Jean-Olivier Defraigne, MD, PhD, Jean-Claude Demoulin, MD, PhD, Raymond Limet, MD, PhD

Department of Anesthesiology, Cardiovascular Surgery, and Cardiology, CHU du Sart-Tilman, Liege, Belgium

Received for publication December 30, 1993. * Address reprint requests to Dr Canivet, Unité de Soins Intensits, CHU Liège, Domaine Universitaire du Sart-Tilman (B 35), 4000 Liège, Belgium.

We report a case of mechanical flow obstruction after heart transplantation caused by a prominent left atrium suture with a "purscstring" effect. The diagnosis was achieved by transesophageal echocardiography. The mean transstenotic gradient was measured at 13 mm Hg. Because of the profound hemodynamic and multisystemic failure, no surgical correction was attempted. The postmortem examination confirmed the stenosis at the level of the left atrium.




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