Myectomy Complication

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TEEpostopME3CVCFD
Short case presentation
79 yo male with history of Hypertrophic Cardiomyopathy (HCM) and Systolic Anterior Motion (SAM) of the mitral valve with severe subaortic obstruction underwent a septal myectomy. In the ICU the patient became unstable.

Please review the TEE and give your assessment.
Please consider the following questions:

What are complications from a septal myectomy?
What is the diagnosis?
What is the severity of the diagnosis?
What are the therapeutic options for the diagnosis?