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Myocardial ischemia with left ventricular outflow obstruction

By Coskun Kasim O, Friedrich Martin, Zenker Dieter, Schmitto Jan D, Bireta Christian, Popov Aron F, Seipelt Ralf, Hanekop Gerd G and Schoendube Friedrich A


<p>Abstract</p> <p>We report an unusual case of a 32-year old man who was treated for a hypertrophic obstructive cardiomyopathy (HOCM) with a DDD pacing with short AV delay reduction in the past. Without prior notice the patient developed ventricular fibrillation and an invasive cardiac diagnostic was performed, which revealed a myocardial bridging around of the left anterior descending artery (LAD). We suspected ischemia that could be either related to LAD artery compression or perfusion abnormalities due to AV delay reduction with related to diastolic dysfunction.</p

Topics: Surgery, RD1-811, Anesthesiology, RD78.3-87.3
Publisher: BMC
Year: 2009
DOI identifier: 10.1186/1749-8090-4-51
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