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The Annals of Thoracic Surgery, Vol 20, 204-208, Copyright © 1975 by The Society of Thoracic Surgeons

ARTICLES

Apparent coexistent valvular and subvalvular left ventricular outflow tract obstruction

JH Horgan, VE Kemp, WF Dutz and RR Lower

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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Copyright © 1975 by The Society of Thoracic Surgeons.