KMID : 0364019920250070739
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Korean Journal of Thoracic and Cardiovascular Surgery 1992 Volume.25 No. 7 p.739 ~ p.744
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Discrete Membranous Subvalvulr Aortic Stenosis -A Case-
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±èÈ£°æ/ÀÌÁ¾±¹/Ȳ¼º¿À/À±Á¤ÇÑ/¹Ú±Ý¼ö
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Abstract
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Discrete membranous subaortic stenosis(DMSS) is one of the subtype of congenital left ventricular outflow obstruction and can be associated with aortic regurgitation, infective endocarditis, ventricular obstruction. DMSS should be removed early,
when
diagnosed, and completely bofore secondary myocardial changes occur.
Recently we experienced a case of DMSS with aortic regurgitation, and its left ventricular outflow tract obstruction(LVOTO) peak systolic gradient was 101mmHg. Resection of membrane and aortic valve replacement is adequet for LVOTO and
postoperative
pressure gradient was 26mmHg. Postoperative echocardiogram shows no obstuctive membrane and well functioning aortic valve.
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