Risk Factors for Reoperation After Repair of Discrete Subaortic Stenosis in Children

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Risk factors for reoperation after repair of discrete subaortic stenosis in children.

OBJECTIVES This study aimed to identify independent predictors of reoperation after successful resection of discrete subaortic stenosis (DSS). BACKGROUND Recurrence of DSS has been reported to range from 0% to 55% of patients. Factors associated with recurrence have not been adequately defined. METHODS Patients were included if they had a diagnosis of DSS, normal segmental cardiac anatomy, ...

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Reoperation after relief of congenital subaortic stenosis.

We read with interest the paper by Dodge-Khatami et al. [1] on risk factors for reoperation after relief of congenital subaortic stenosis. We compliment them on their extensive statistical analysis and would like to discuss their results as well as our own [2]. Preoperative left ventricular outflow tract (LVOT) gradients in their series ranged from 5 to 120 mmHg, which would lead us to question...

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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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Echocardiography 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...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 2007

ISSN: 0735-1097

DOI: 10.1016/j.jacc.2007.07.013