Article Text

Download PDFPDF
Ventricular tachycardia following aortic valve replacement
  1. Noor Mohammed,
  2. Uday Dandekar,
  3. Faizel Osman
  1. Department of Cardiology and Cardiothoracic Surgery, University Hospitals of Coventry and Warwickshire NHS trust, Coventry, UK
  1. Correspondence to Dr Noor Mohammed, Department of Cardiology, University Hospitals of Coventry and Warwickshire, Coventry CV2 2DX, UK; drnoorullah{at}

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


A 23-year-old man underwent mechanical bi-leaflet implant following infective endocarditis of native trileaflet aortic valve. He developed sustained runs of ventricular tachycardia (VT) (left bundle branch block (LBBB) morphology) 5 days postoperatively with loss of cardiac output needing external electrical cardioversion. Physical examination revealed an ejection systolic murmur in the aortic area (grade 2/6) and a pan-systolic murmur (grade 4/6) along the left sternal edge with raised jugular venous pressure. Routine blood tests demonstrated leucocytosis and a raised C reactive protein, and chest radiography showed pulmonary oedema. Transoesophageal echocardiography (TOE) was performed (figure 1).

Figure 1

Preoperative transoesophageal echocardiogram image (top) and spectral continuous wave Doppler (bottom).


Based on these images and the clinical data the most likely …

View Full Text


  • Contributors All the authors were involved in the clinical care of the patient and contributed towards manuscript.

  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.