B-scan ultrasonography in idiopathic hypertrophic subaortic stenosis. Study of left ventricular outflow tract and mechanism of obstruction.

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B-scan ultrasonography in idiopathic hypertrophic subaortic stenosis. Study of left ventricular outflow tract and mechanism of obstruction.

Studies were made with standard time motion and B-scan echocardiography on 48 patients including 5 with idiopathic hypertrophic subaortic stenosis (hypertrophic obstructive cardiomyopathy), undergoing diagnostic cardiac catheterization. The dimensions of the left ventricular outflow (O) and inflow (I) tracts were measured on the B-scan images. The outflow tract was significantly narrowed in idi...

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ngiographic and echocardiographic studies A have demonstrated that subjects with hypertrophic subaortic stenosis display an abnormal systolic outflow tract narrowing brought about by apposition of a paradoxically moving anterior rnitral leaflet and a hypertrophic interventricular septum.' The hemodynamic consequence of such obstruction is the development of a fluctuant gradient between thc infl...

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Muscular (hypertrophic) subaortic stenosis (hypertrophic obstructive cardiomyopathy): the evidence for true obstruction to left ventricular outflow.

The clinical and haemodynamic significance of the subaortic pressure gradient in patients with muscular (hypertrophic) subaortic stenosis (hypertrophic obstructive cardiomyopathy) has long been debated. In this report we summarize the evidence which indicates that true obstruction to left ventricular outflow exists in these patients. Rapid left ventricular ejection, through an outflow tract nar...

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Echocardiography in coexisting hypertrophic subaortic stenosis and fixed left ventricular outflow obstruction.

Echocardiographic study was done on four pediatric patients with coexisting hypertrophic subaortic stenosis (HSS) and fixed left ventricular outflow (LVO) obstruction. One had valvar aortic stenosis, two had discrete subaortic stenosis and one had coarctation of the aorta. Preoperatively, HSS was not suspected in any of these patients because of the classical findings of fixed LVO obstruction. ...

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A subaortic membrane is an uncommon cause for left ventricular outflow tract obstruction. Hypertrophic cardiomyopathy with dynamic left ventricular outflow tract obstruction would mask the presence of the subaortic membrane on transthoracic echocardiography and cause a false diagnosis. We report a patient with subaortic stenosis due to flail subaortic membrane misdiagnosed as obstructive hypert...

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ژورنال

عنوان ژورنال: Heart

سال: 1976

ISSN: 1355-6037

DOI: 10.1136/hrt.38.6.595