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Advanced Technical IVT

LVOT obstruction

Also written as: LVOT — Left Ventricular Outflow Tract obstruction

Blockage of blood flow through the left ventricular outflow tract, commonly seen in hypertrophic cardiomyopathy. Creates a pressure gradient between the left ventricle and aorta.

Full Definition

Left ventricular outflow tract (LVOT) obstruction is a hemodynamic condition characterized by impedance to blood flow from the left ventricle to the aorta. This obstruction most commonly occurs in hypertrophic cardiomyopathy due to septal hypertrophy and systolic anterior motion of the mitral valve. The obstruction creates a pressure gradient that can be measured by echocardiography or cardiac catheterization. Symptoms may include dyspnea, chest pain, and syncope, particularly with exertion.

Usage

Usage note: Include gradient measurements when documenting LVOT obstruction severity.

In Context

  • "Echocardiography revealed severe LVOT obstruction with a peak gradient of 85 mmHg." — Echocardiography report
  • "The patient's symptoms improved significantly after septal myectomy to relieve LVOT obstruction." — Surgical follow-up note

Also known as

left ventricular outflow obstruction dynamic LVOT obstruction

Contrasted with

unobstructed LVOT normal LVOT

Don't confuse with

aortic stenosis mitral regurgitation

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