Repository of Research and Investigative Information

Repository of Research and Investigative Information

Baqiyatallah University of Medical Sciences

Transient severe left ventricular diastolic dysfunction during intraoperative transesophageal echocardiography--a case report

(2008) Transient severe left ventricular diastolic dysfunction during intraoperative transesophageal echocardiography--a case report. Middle East J Anaesthesiol. pp. 901-4. ISSN 0544-0440 (Print) 0544-0440

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Official URL: http://www.ncbi.nlm.nih.gov/pubmed/18630775

Abstract

A 55-year-old man with significant lesion of left anterior descending artery and left ventricular systolic dysfunction, became candidate for coronary artery bypass grafts surgery. Intraoperative transesophageal echocardiography (TEE) was done for evaluation of severity of mitral regurgitation. During surgery, suddently systolic blood pressure dropped to 50 mmHg and lasted for 2 minutes and grade III left ventricular (LV) diastolic dysfunction occurred. After restoring blood pressure to 110/60 mmHg, LV diastolic pattern returned to baseline pattern. The decreased coronary perfusion pressure and its effect on diastolic function may be responsible for this pattern of diastolic dysfunction.

Item Type: Article
Keywords: Blood Pressure/physiology Cardiotonic Agents/therapeutic use Coronary Artery Bypass Coronary Circulation/physiology *Echocardiography, Transesophageal Humans Intraoperative Complications/*diagnostic imaging/drug therapy/physiopathology Male Middle Aged Mitral Valve Insufficiency/diagnostic imaging Monitoring, Intraoperative Myocardial Revascularization Ventricular Dysfunction, Left/*diagnostic imaging/drug therapy/physiopathology
Divisions:
Page Range: pp. 901-4
Journal or Publication Title: Middle East J Anaesthesiol
Journal Index: Pubmed
Volume: 19
Number: 4
ISSN: 0544-0440 (Print) 0544-0440
Depositing User: مهندس مهدی شریفی
URI: http://eprints.bmsu.ac.ir/id/eprint/2200

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