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Abstract
The detection at operation and successful operative correction of the rare combination
of congenital subaortic stenosis occurring below a large ventricular septal defect
are reported. Preoperative study indicated an isolated ventricular septal defect and
only after routine systematic chamber and great vessel pressure measurements were
made did the complete diagnosis become apparent. The importance of obtaining these
measurements before and after all intracardiac surgery is stressed. The hemodynamic
measurements are presented. The changes appear to be controlled by the size of the
ventricular defect, the site and degree of subaortic stenosis, and the difference
between pulmonary and systemic peripheral vascular resistances. Use of the transatrial
approach seemed to offer distinct advantage in the exposure and repair of this combination
of defects.
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References
- Pathology of the heart.in: Charles C Thomas, Publisher, Springfield, Ill1953: 336
- An improved transatrial approach to the closure of ventricular septal defects.J. Thoracic Surg. 1962; 43: 157
- Obstruction of left ventricular outlet in association with ventricular septal defect.Circulation. 1960; 22: 110
- Congenital malformations of the heart.in: The Commonwealth Fund, New York1947: 391
Article info
Publication history
Received:
March 14,
1962
Footnotes
☆Supported in part by grants from United States Public Health Service (HTS-5392 and H-6504) and the North Carolina Heart Association.
Identification
Copyright
© 1962 Published by Elsevier Inc.
