Apparent Coexistent Valvular and Subvalvular Left Ventricular Outflow Tract Obstruction
A patient is presented in whom coexisting bicuspid valvular aortic stenosis and asymmetrical septal hypertrophy were suggested by echocardiography. A focal area of hypertrophy noted at operation was excised. Subsequent histological examination did not reveal evidence to support the echographic and s...
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| Published in | The Annals of thoracic surgery Vol. 20; no. 2; pp. 204 - 208 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
Netherlands
Elsevier Inc
01.08.1975
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| Subjects | |
| Online Access | Get full text |
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| Abstract | A patient is presented in whom coexisting bicuspid valvular aortic stenosis and asymmetrical septal hypertrophy were suggested by echocardiography. A focal area of hypertrophy noted at operation was excised. Subsequent histological examination did not reveal evidence to support the echographic and surgical observations. The necessity for careful intraoperative assessment of the degree and nature of subvalvular muscular hypertrophy is stressed. The absence of classic echographic findings in these patients is noted. |
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| AbstractList | A patient is presented in whom coexisting bicuspid valvular aortic stenosis and asymmetrical septal hypertrophy were suggested by echocardiography. A focal area of hypertrophy noted at operation was excised. Subsequent histological examination did not reveal evidence to support the echographic and surgical observations. The necessity for careful intraoperative assessment of the degree and nature of subvalvular muscular hypertrophy is stressed. The absence of classic echographic findings in these patients is noted. |
| Author | Kemp, V. Eric Lower, Richard R. Horgan, John H. Dutz, Werner F. |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/126048$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1152/jappl.1962.17.2.343 10.1016/0002-9149(73)90306-8 10.1161/01.CIR.50.4.752 10.1016/0002-9149(69)90423-8 10.1093/milmed/137.6.238 10.1161/01.CIR.47.2.225 10.1161/01.CIR.49.4.673 10.1161/01.CIR.49.5.870 10.1056/NEJM197305102881903 |
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| References | Chung, Manning, Gramiak (bib3) 1974; 49 Walpole, Myers (bib11) 1972 Davies (bib4) 1970; 119 Henry, Clark, Glancy, Epstein (bib6) 1973; 288 Nanda, Gramiak, Shah, Stewart, DeWeese (bib9) 1974; 50 Henry, Clark, Epstein (bib5) 1973; 47 Parker, Kaplan, Connolly (bib10) 1969; 24 Morgan (bib7) 1972; 137 Block, Powell, Dinsmore, Goldblatt (bib1) 1973; 31 Brock (bib2) 1957; 106 Nanda, Gramiak, Manning, Mahoney, Lipchick, DeWeese (bib8) 1974; 49 Weibel, Gomez (bib12) 1962; 17 Brock (10.1016/S0003-4975(10)63876-3_bib2) 1957; 106 Nanda (10.1016/S0003-4975(10)63876-3_bib9) 1974; 50 Henry (10.1016/S0003-4975(10)63876-3_bib6) 1973; 288 Block (10.1016/S0003-4975(10)63876-3_bib1) 1973; 31 Nanda (10.1016/S0003-4975(10)63876-3_bib8) 1974; 49 Davies (10.1016/S0003-4975(10)63876-3_bib4) 1970; 119 Henry (10.1016/S0003-4975(10)63876-3_bib5) 1973; 47 Walpole (10.1016/S0003-4975(10)63876-3_bib11) 1972 Morgan (10.1016/S0003-4975(10)63876-3_bib7) 1972; 137 Parker (10.1016/S0003-4975(10)63876-3_bib10) 1969; 24 Chung (10.1016/S0003-4975(10)63876-3_bib3) 1974; 49 Weibel (10.1016/S0003-4975(10)63876-3_bib12) 1962; 17 |
| References_xml | – volume: 24 start-page: 307 year: 1969 ident: bib10 article-title: Coexistent aortic valvular and functional hypertrophic subaortic stenosis: Clinical, physiologic and angiographic aspects publication-title: Am J Cardiol contributor: fullname: Connolly – volume: 119 start-page: 35 year: 1970 ident: bib4 article-title: Hypertrophic subaortic stenosis as a complication of fixed obstruction to left ventricular outflow publication-title: Guys Hosp Rep contributor: fullname: Davies – volume: 17 start-page: 343 year: 1962 ident: bib12 article-title: A principle for counting structures on random sections publication-title: J Appl Physiol contributor: fullname: Gomez – volume: 31 start-page: 523 year: 1973 ident: bib1 article-title: Coexistent fixed congenital and idiopathic hypertrophic subaortic stenosis publication-title: Am J Cardiol contributor: fullname: Goldblatt – volume: 137 start-page: 238 year: 1972 ident: bib7 article-title: Idiopathic hypertrophic subaortic stenosis: Variability of obstruction association with mild aortic valvular stenosis publication-title: Milit Med contributor: fullname: Morgan – volume: 47 start-page: 225 year: 1973 ident: bib5 article-title: Asymmetric septal hypertrophy: Echocardiographic identification of the pathognomonic anatomic abnormality of I.H.S.S publication-title: Circulation contributor: fullname: Epstein – volume: 50 start-page: 752 year: 1974 ident: bib9 article-title: Echocardiography in the diagnosis of idiopathic hypertrophic subaortic stenosis co-existing with aortic valve disease publication-title: Circulation contributor: fullname: DeWeese – start-page: 365 year: 1972 ident: bib11 publication-title: Probability and Statistics for Engineers and Scientists contributor: fullname: Myers – volume: 49 start-page: 673 year: 1974 ident: bib3 article-title: Echocardiography in coexisting hypertrophic subaortic stenosis and fixed left ventricular outflow obstruction publication-title: Circulation contributor: fullname: Gramiak – volume: 49 start-page: 870 year: 1974 ident: bib8 article-title: Echocardiographic recognition of the congenital bicuspid aortic valve publication-title: Circulation contributor: fullname: DeWeese – volume: 106 start-page: 221 year: 1957 ident: bib2 article-title: Functional obstruction of the left ventricle (acquired aortic subvalvular stenosis) publication-title: Guys Hosp Rep contributor: fullname: Brock – volume: 288 start-page: 989 year: 1973 ident: bib6 article-title: Echocardiographic measurement of the left ventricular outflow gradient in idiopathic hypertrophic subaortic stenosis publication-title: N Engl J Med contributor: fullname: Epstein – volume: 106 start-page: 221 year: 1957 ident: 10.1016/S0003-4975(10)63876-3_bib2 article-title: Functional obstruction of the left ventricle (acquired aortic subvalvular stenosis) publication-title: Guys Hosp Rep contributor: fullname: Brock – volume: 119 start-page: 35 year: 1970 ident: 10.1016/S0003-4975(10)63876-3_bib4 article-title: Hypertrophic subaortic stenosis as a complication of fixed obstruction to left ventricular outflow publication-title: Guys Hosp Rep contributor: fullname: Davies – start-page: 365 year: 1972 ident: 10.1016/S0003-4975(10)63876-3_bib11 contributor: fullname: Walpole – volume: 17 start-page: 343 year: 1962 ident: 10.1016/S0003-4975(10)63876-3_bib12 article-title: A principle for counting structures on random sections publication-title: J Appl Physiol doi: 10.1152/jappl.1962.17.2.343 contributor: fullname: Weibel – volume: 31 start-page: 523 year: 1973 ident: 10.1016/S0003-4975(10)63876-3_bib1 article-title: Coexistent fixed congenital and idiopathic hypertrophic subaortic stenosis publication-title: Am J Cardiol doi: 10.1016/0002-9149(73)90306-8 contributor: fullname: Block – volume: 50 start-page: 752 year: 1974 ident: 10.1016/S0003-4975(10)63876-3_bib9 article-title: Echocardiography in the diagnosis of idiopathic hypertrophic subaortic stenosis co-existing with aortic valve disease publication-title: Circulation doi: 10.1161/01.CIR.50.4.752 contributor: fullname: Nanda – volume: 24 start-page: 307 year: 1969 ident: 10.1016/S0003-4975(10)63876-3_bib10 article-title: Coexistent aortic valvular and functional hypertrophic subaortic stenosis: Clinical, physiologic and angiographic aspects publication-title: Am J Cardiol doi: 10.1016/0002-9149(69)90423-8 contributor: fullname: Parker – volume: 137 start-page: 238 year: 1972 ident: 10.1016/S0003-4975(10)63876-3_bib7 article-title: Idiopathic hypertrophic subaortic stenosis: Variability of obstruction association with mild aortic valvular stenosis publication-title: Milit Med doi: 10.1093/milmed/137.6.238 contributor: fullname: Morgan – volume: 47 start-page: 225 year: 1973 ident: 10.1016/S0003-4975(10)63876-3_bib5 article-title: Asymmetric septal hypertrophy: Echocardiographic identification of the pathognomonic anatomic abnormality of I.H.S.S publication-title: Circulation doi: 10.1161/01.CIR.47.2.225 contributor: fullname: Henry – volume: 49 start-page: 673 year: 1974 ident: 10.1016/S0003-4975(10)63876-3_bib3 article-title: Echocardiography in coexisting hypertrophic subaortic stenosis and fixed left ventricular outflow obstruction publication-title: Circulation doi: 10.1161/01.CIR.49.4.673 contributor: fullname: Chung – volume: 49 start-page: 870 year: 1974 ident: 10.1016/S0003-4975(10)63876-3_bib8 article-title: Echocardiographic recognition of the congenital bicuspid aortic valve publication-title: Circulation doi: 10.1161/01.CIR.49.5.870 contributor: fullname: Nanda – volume: 288 start-page: 989 year: 1973 ident: 10.1016/S0003-4975(10)63876-3_bib6 article-title: Echocardiographic measurement of the left ventricular outflow gradient in idiopathic hypertrophic subaortic stenosis publication-title: N Engl J Med doi: 10.1056/NEJM197305102881903 contributor: fullname: Henry |
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| Snippet | A patient is presented in whom coexisting bicuspid valvular aortic stenosis and asymmetrical septal hypertrophy were suggested by echocardiography. A focal... |
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| SubjectTerms | Adult Cardiomegaly - diagnosis Cardiomegaly - pathology Cardiomyopathy, Hypertrophic - diagnosis Cardiomyopathy, Hypertrophic - pathology Echocardiography Female Heart Septum Heart Ventricles - pathology Humans |
| Title | Apparent Coexistent Valvular and Subvalvular Left Ventricular Outflow Tract Obstruction |
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