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Left ventricular outflow tract obstruction (LVOTO) refers to the limitation of blood flow out of the left ventricle. The level of obstruction can be valvular, sub-valvular, or supravalvular. It can include anatomic stenotic lesions anywhere from left ventricle (LV) outflow to descending aorta.Dynamic left ventricular outflow tract obstruction (LVOTO) creates a confusing hemodynamic picture. If unrecognized, LVOTO will fail to respond to standard hemodynamic therapies. Indeed, LVOTO will often respond to various interventions in the opposite fashion than might be expected for most patients (e.g., inotropes will make the .
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