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Undiagnosed hypertrophic obstructive cardiomyopathy during transcatheter aortic valve replacement: a case report

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Figure

Table 1 Considerations for decompensation after transcatheteraortic valve replacement include cardiac pathology, drug-relatedadverse effects, valve dysfunction, and pulmonary disease withdiagnostic considerations based on suspected cause.
Fig. 1 Intraoperative transesophageal echocardiogram, mid-esophageal long-axis view obtained after rapid pacing and valve deploymentdemonstrating (a) systolic anterior motion of the mitral valve leading to severe restriction of flow (b) as demonstrated on color Doppler imaging
Fig. 2 Intraoperative transesophageal echocardiogram, mid-esophageal long-axis view obtained after rate control and treatment with alpha-1agonists demonstrating (a) improved left ventricular outflow tract diameter with no apparent systolic anterior motion and (b) improvedsubvalvular flow on color Doppler imaging

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