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The Annals of Thoracic Surgery, Vol 58, 890-891, Copyright © 1994 by The Society of Thoracic Surgeons

ARTICLES

Mechanical flow obstruction after heart transplantation diagnosed by TEE

JL Canivet, JO Defraigne, JC Demoulin and R Limet
Department of Anesthesiology, CHU du Sart-Tilman, Liege, Belgium.

We report a case of mechanical flow obstruction after heart transplantation caused by a prominent left atrium suture with a "pursestring" 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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