PMC3484566_01
Pre operative echocardiogram showing the bioprothesis malpositioned with left ventricular outflow tract obstruction.
hsrp-01-4044-g001.jpg
PMC3484566_01_hsrp-01-4044-g001.jpg
F001
The echocardiography showed abnormal position of the bio-prosthesis strut, with narrowing of the left ventricular outflow tract (LVOT) =1.7 cm and a mean systolic gradient of 35 mmHg. (Figures 1 and 2).