Post-MVR SAM Management — FRCA Final MCQ

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HardCardiothoracic AnaesthesiaPost-MVR SAM ManagementFRCA Final

Post-MVR TEE shows SAM with dynamic LVOT obstruction. Initial management:

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Correct answer: C — IABP insertion

SAM worsened by hypovolaemia, tachycardia, increased contractility, low SVR. Treatment: volume, increase SVR (phenylephrine), reduce/stop inotropes, consider beta-blocker.

Reference: RCOA – 2023 – Cardiothoracic; Shernan – 2016 – TEE