Discrete Subaortic Stenosis
作者:
D. Kelly,
E. Wulfsberc,
Richard Rowe,
期刊:
Circulation
(OVID Available online 1972)
卷期:
Volume 46,
issue 2
页码: 309-322
ISSN:0009-7322
年代: 1972
出版商: OVID
关键词: Angiographic classification type I and type II;Left ventricular hypertrophy;Aortic regurgitation
数据来源: OVID
摘要:
Twenty-five patients with discrete subaortic stenosis were reviewed. Twenty were operated on for severe obstruction. Review of available data suggests there is a wide spectrum of the disease which may be divided into two main types designated I and II. Type I is a thin discrete membrane immediately under the aortic valve obstructing the outflow but not associated with narrowing of it. Type II is situated about 1 cm below the valve and consists of a fibrous ring, thicker than type I, and associated with muscular hypertrophy which narrows the outflow tract, encroaches on the anterior leaflet of the mitral valve, and may extend 1-2 cm downward. Both have a characteristic angiographic appearance. Results of surgery are good for type I but not satisfactory for type II. Aortic incompetence is likely to increase or develop following operation in both types.
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