Research Article| Volume 52, ISSUE 4, P671-674, October 1962

Subaortic stenosis below a large ventricular septal defect

      This paper is only available as a PDF. To read, Please Download here.


      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.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Surgery
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Gould S.E.
        Pathology of the heart.
        in: Charles C Thomas, Publisher, Springfield, Ill1953: 336
        • Hudspeth A.S.
        • Cordell A.R.
        • Meredith J.H.
        • Johnston F.R.
        An improved transatrial approach to the closure of ventricular septal defects.
        J. Thoracic Surg. 1962; 43: 157
        • Lauer R.M.
        • Dushane J.W.
        • Edwards J.E.
        Obstruction of left ventricular outlet in association with ventricular septal defect.
        Circulation. 1960; 22: 110
        • Taussig H.B.
        Congenital malformations of the heart.
        in: The Commonwealth Fund, New York1947: 391