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Noninvasive Evaluation of Membranous Subaortic Stenosis: Complimentary Roles of Echocardiography and Computed Tomographic Angiography
Authors:Hee‐Sun Mun M.D.  L. Samuel Wann M.D.   M.A.C.C.   F.E.S.C.
Affiliation:1. Cardiovascular Research Institute, Yonsei University College of Medicine, Seoul, Korea;2. Department of Cardiovascular Medicine, Wisconsin Heart Hospital, Milwaukee, Wisconsin
Abstract:A 29‐year‐old Ethiopian woman that was referred to the Wisconsin Heart Hospital for treatment of subaortic stenosis, diagnosed 4 years earlier, in Ethiopia, using transthoracic echocardiography. Preoperative evaluation included transesophageal echocardiography, which showed severe membranous subaortic stenosis with a mean outflow gradient of 70 mmHg. Cardiac computed tomographic angiography also demonstrated a subaortic membrane, and additionally showed normal epicardial coronary arteries. The patient underwent uneventful surgical resection of the subaortic membrane without undergoing cardiac catheterization. (Echocardiography 2010;27:E34‐E35)
Keywords:subaortic stenosis  membranous subaortic stenosis  left ventricular outflow tract obstruction  CT angiography  echocardiography
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