Natural history and surgical outcomes for isolated discrete subaortic stenosis in children

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Natural history and surgical outcomes for isolated discrete subaortic stenosis in children.

OBJECTIVE To document the natural history and surgical outcomes for discrete subaortic stenosis in children. DESIGN Retrospective review. SETTING Tertiary care paediatric cardiology centres. PATIENTS 92 children diagnosed between 1985 and 1998. MAIN OUTCOME MEASURES Echocardiographic left ventricular outflow gradient (echograd), and aortic insufficiency (AI). RESULTS The mean (SEM) ag...

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Outcomes and questions about discrete subaortic stenosis.

D iscrete subaortic stenosis (DSS) is a well-described cause of isolated left ventricular outflow tract (LVOT) obstruction in children. 1 The lesion is of obvious hemodynamic significance , but in addition, it is recognized to be the result of a dynamic process that continues and has consequences into adulthood. Consequently, there are questions (including the mechanism of formation, the surgic...

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The natural history of congenital subaortic stenosis.

BACKGROUND Congenital subaortic stenosis (SAS) has a high recurrence rate after surgical correction. Aortic valve disease frequently coexists with SAS, being its occurrence and progression unpredictable. We aimed to assess predictors of SAS recurrence and aortic valve disease occurrence and progression. METHODS Retrospective analysis of 51 patients with SAS followed in a congenital heart dise...

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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: Heart

سال: 1999

ISSN: 1355-6037

DOI: 10.1136/hrt.82.6.708