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Ann Thorac Surg 2002;73:649-650
© 2002 The Society of Thoracic Surgeons

Case report

Recurrence of left ventricular outflow tract obstruction after left anterior descending coronary artery revascularization in a patient with hypertrophic obstructive cardiomyopathy

Simon J. Abou Jaoudé, MDa, Paul E. Achouh, MDb, Ramzi A. Ashoush, MDb, Victor A. Jebara, MD*b

a Department of Cardiology, Hôtel Dieu de France, Beirut, Lebanon
b Department of Cardiovascular Surgery, Hôtel Dieu de France, Beirut, Lebanon

Accepted for publication April 17, 2001.

* Address reprint requests to Dr Jebara, Department of Cardiovascular and Thoracic Surgery, Hôtel Dieu de France, Rue Adib Ishac, Beirut, Lebanon
e-mail: vix{at}dm.net.lb

A patient with known hypertrophic obstructive cardiomyopathy presented with an anteroseptal myocardial infarction which resulted in the disappearance of his subaortic pressure gradient. Surgical revascularization of his left anterior descending coronary artery after the viability of his myocardium had been documented led to the recurrence of his left ventricular outflow tract obstruction and subaortic pressure gradient.






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