Does Presence of Discrete Subaortic Stenosis Alter Diagnosis and Management of Concomitant Valvular Aortic Stenosis?

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Diagnosis and Management of Valvular Aortic Stenosis

Valvular aortic stenosis (AS) is a progressive disease that affects 2% of the population aged 65 years or older. The major cause of valvular AS in adults is calcification and fibrosis of a previously normal tricuspid valve or a congenital bicuspid valve, with rheumatic AS being rare in the United States. Once established, the rate of progression of valvular AS is quite variable and impossible t...

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Discrete Subaortic Stenosis Complicated by Aortic Valvular Regurgitation

WATHEN the physician encounters a patient in whom the clinical examination, the electrocardiogram, and roentgenograms indicate the presence of combined aortic stenosis and regurgitation, he will usually attribute these findings to an aortic valve that has been rendered both stenotic and regurgitant by rheumatic valvulitis and its sequelae. Indeed, in the vast majority of patients, this clinicop...

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In order to determine whether there is any interference with left atrial emptying or left ventricular filling in idiopathic hypertrophic subaortic stenosis (IHSS) and aortic stenosis, the fall in pressure (y descent) of the left atrial v wave following the opening of the mitral valve was analyzed in 27 patients with IHSS and in 22 patients with valvular aortic stenosis, and the results were com...

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Discrete 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...

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Discrete 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 ...

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ژورنال

عنوان ژورنال: CASE

سال: 2019

ISSN: 2468-6441

DOI: 10.1016/j.case.2018.11.007