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European Heart Journal 1989 10(5):479-481;
Copyright © 1989 by the European Society of Cardiology.
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© 1989 The European Society of Cardiology

Fatal acute left ventricular outflow obstruction due to interventricular septal haematoma — diagnosis by transoesophageal echocardiography

D. F. ETTLES, N. FIRTH, R. U. NAIR and G. J. WILLIAMS

Non-Invasive Heart Unit and Department of Cardiothoracic Surgery Killingbeck Hospital Leeds England

Received 5 August 1988; revised 20 December 1988; .

Address for correspondece: Dr Duncan Ettles, Non-Invasive Heart Unit, Killingbeck Hoipital, York Road, Leeds LS14 6UQ, England.

Abstract

We describe a case of fatal left ventricular outflow obstruction detected by intraoperative transoesophageal echocardiography. This resulted from acute haematoma formation within the interventricular septum follow–ing internal mammary artery grafting to the left anterior descending coronary artery. This unusual case highlights the emerging role of transoesophageal echocardiography in the diagnosis and management of the complications of cardiac surgery.

Key Words: Transoesophageal cross-sectional echocardiography • interventricular septal haematoma


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