DISCRETE SUBAORTIC STENOSIS (DSS) IN CHILDHOOD - A CONGENITAL OR ACQUIRED DISEASE - FOLLOW-UP IN 65 PATIENTS

被引：28

作者：

FIRPO, C ^{[1
]}

AZCARATE, MJM ^{[1
]}

JIMENEZ, MQ ^{[1
]}

SARAVALLI, O ^{[1
]}

机构：

[1] RAMON & CAJAL HOSP,DEPT PEDIAT CARDIOL,MADRID,SPAIN

来源：

EUROPEAN HEART JOURNAL | 1990年 / 11卷 / 11期

关键词：

Aortic regurgitation; Surgery; Ventricular septal defect;

D O I：

10.1093/oxfordjournals.eurheartj.a059631

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Discrete subaortic stenosis (DSS) is a frequent malformation easily diagnosed by echocardiography; surgical resection of the membrane is the most suitable treatment. However, some evolutive aspects of the lesion remain unexplained (the presence of aortic dysfunction, associated malformations, etc. ). With a view to analyse these aspects, we have studied 65 patients with DSS and divided them into two groups: Group I. 37patients without surgery, and Group II, 28 patients treated by resection of the membrane. During follow-up we observed: (a) development of aortic regurgitation in operated and non-operated cases; (b) frequent association of DSS with closed or closing ventricular septal defect; (c) the absence of DSS in neonates and (d) the progressive growth of the membrane. These aspects give this malformation an evolutive character that requires observation and management even after resection of the DSS. © 1990 The European Society of Cardiology.

引用

页码：1033 / 1040

页数：8