Isolated subpulmonic fibrous ring, mirror-image dextrocardia and situs solitus in a young lady unreported and a near miss

Congenital diseases causing obstruction of the right ventricular outflow tract (RVOT) are common, but the isolated subpulmonary membrane/ring is extremely rare and can be difficult to diagnose precisely, especially in adults. We report a case of surgically resected isolated subpulmonic fibrous ring...

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Published inInteractive cardiovascular and thoracic surgery Vol. 17; no. 6; pp. 1043 - 1044
Main Authors Yousif, Musaab, Elhassan, Nezar B., Ali, Sulafa K.M., Ahmed, Yassir
Format Journal Article
LanguageEnglish
Published England Oxford University Press 01.12.2013
Subjects
Abnormalities, Multiple
Adult
Cardiac Surgical Procedures
Case Reports
Dextrocardia - diagnosis
Diagnostic Errors
Discrete Subaortic Stenosis - diagnosis
Echocardiography, Transesophageal
Female
Heart Defects, Congenital - diagnosis
Humans
Predictive Value of Tests
Pulmonary Subvalvular Stenosis - complications
Pulmonary Subvalvular Stenosis - diagnosis
Pulmonary Subvalvular Stenosis - surgery
Situs Inversus - diagnosis
Treatment Outcome
Ventricular Outflow Obstruction - diagnosis
Ventricular Outflow Obstruction - etiology
Membrane
Situs solitus
Congenital
Dextrocardia
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Summary:Congenital diseases causing obstruction of the right ventricular outflow tract (RVOT) are common, but the isolated subpulmonary membrane/ring is extremely rare and can be difficult to diagnose precisely, especially in adults. We report a case of surgically resected isolated subpulmonic fibrous ring in a lady with mirror-image dextrocardia and abdominal situs solitus that was misdiagnosed by echocardiography as a subaortic membrane.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:1569-9293
1569-9285
DOI:10.1093/icvts/ivt278