Anomalous Papillary Muscle Insertion Contributing to Obstruction in Discrete Subaortic Stenosis
نویسندگان
چکیده
منابع مشابه
Left ventricular outflow tract obstruction due to anomalous insertion of papillary muscle.
A 56-year-old man who complained of quadrantic hemianopsia was admitted to determine its etiology. Cerebral angiography revealed no organic stenosis. Echocardiography showed clear direct continuity between a hypertrophied anterolateral papillary muscle and the anterior mitral leaflet, and the left ventricular (LV) outflow tract (LVOT) was narrowed by the presence of an accessory papillary muscl...
متن کاملDiscrete subaortic stenosis.
Data concerning 17 consecutive patients with discrete subaortic stenosis are recorded. Twelve patients underwent operative resection of the obstructing lesion. Of these all except one were symptomatic and all had electrocardiographic evidence of left ventricular hypertrophy or left ventricular hypertrophy with strain. They had a peak resting systolic left ventricular outflow tract gradient of g...
متن کاملDiscrete subaortic stenosis.
From 1971-1981, 18 patients with discrete subaortic stenosis were treated surgically at the Medical University of South Carolina. Echocardiography was diagnostic in 10 of 11 patients in whom it was used. Preoperative cardiac catheterization was performed in all patients. The preoperative left ventricular outflow systolic pressure gradient was 82.0 +/- 27.2 mmHg (mean +/- SD) (range 30-145). In ...
متن کاملEchocardiography in discrete subaortic stenosis.
Differentiating discrete subaortic stenosis (DSAS) from aortic valve stenosis (AVS) may be difficult, even at cardiac catheterization. Twenty-two patients with DSAS were studied echocardiographically and compared with 41 patients with AVS and 234 normal subjects. A ratio of left ventricular outflow tract to aortic root (LVOT: AO) < 0.80 determined LVOT narrowing in 19 of 22 DSAS patients. The a...
متن کاملAnomalous Papillary Muscle Insertion Causing Dynamic Left Ventricular Outflow Tract Obstruction without Hypertrophic Obstructive Cardiomyopathy
Anomalous papillary muscle insertion directly into the surface of the mitral valve leaflet is rare, especially in a subject without apparent evidence of hypertrophic cardiomyopathy. We present a case of this isolated congenital malformation producing two hemodynamic sequelae of dynamic left ventricular outflow tract obstruction and severe mitral regurgitation.
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ژورنال
عنوان ژورنال: Journal of the American College of Cardiology
سال: 1983
ISSN: 0735-1097
DOI: 10.1016/s0735-1097(83)80179-x