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Ann Thorac Surg 1975;20:204-208
© 1975 The Society of Thoracic Surgeons

Articles

Apparent Coexistent Valvular and Subvalvular Left Ventricular Outflow Tract Obstruction

John H. Horgan, M.D.*, V. Eric Kemp, M.D., Werner F. Dutz, M.D., Richard R. Lower, M.D.

From the Division of Cardiology and Cardiothoracic Surgery, Medical College of Virginia, Richmond, Va.

Accepted for publication March 13, 1975.

* Address reprint requests to: Dr. Horgan, Box 912, Medical College of Virginia, Richmond, Va. 23298.

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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