scholarly journals Surgical relief of left ventricular outflow tract obstruction in adults with congenital aortic stenosis and associated aortic annulus hypoplasia and/or subaortic obstruction

2015 ◽  
Vol 24 ◽  
pp. S416-S417
Author(s):  
P. Skillington ◽  
M. Larobina ◽  
L. Grigg ◽  
L. Balding ◽  
D. Zentner ◽  
...  
ESC CardioMed ◽  
2018 ◽  
pp. 807-810
Author(s):  
David Anderson

Left ventricular outflow tract obstruction can occur at subvalvar, valvar, and supravalvar levels. Severity and progression can be evaluated by echocardiography. Aortic valve stenosis can usually be relieved by balloon valvotomy, but some patients require surgery, either with valvotomy, valve replacement, or the Ross procedure. Sub- and supravalvar aortic stenosis require surgical management. Long-term follow-up of all patients is required.


Introduction 68Subvalvar aortic stenosis (AS) 70Bicuspid aortic valve 72Supravalvar AS 74LVOTO may occur at different levels: • Subvalvular.• Valvular—including bicuspid aortic valve.• Supravalvular.• Coarctation— see p.118.Effects of LVOTO, irrespective of site of lesion, are: • ↑ afterload on LV....


2021 ◽  
Vol 16 ◽  
Author(s):  
Priya Bansal ◽  
Hamza Lodhi ◽  
Adithya Mathews ◽  
Anand Desai ◽  
Ramez Morcos ◽  
...  

The authors describe a patient with hypertrophic cardiomyopathy with concomitant left ventricular outflow tract obstruction and aortic stenosis. Detailed haemodynamic assessment of the serial lesions was performed. Alcohol septal ablation resulted in a significant reduction of gradients across the left ventricular outflow tract.


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