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A case of successful valve repair for aortic insufficiency associated with discrete subaortic stenosis. 2011

Tetsuya Saito, and Takafumi Masai, and Koji Takeda, and Gengo Sunagawa, and Yoshiki Sawa
Department of Cardiovascular Surgery, Sakurabashi Watanabe Hospital, 2-4-32 Kitaku, Umeda, Osaka, Japan. uchiyamada121@hotmail.com

Discrete subaortic stenosis (DSS) is an uncommon form of left ventricular outflow tract obstruction especially in adulthood. Moreover, aortic regurgitation (AR), which is a common sequence of DSS, requiring surgical correction is extremely rare. We report the case of a 33-year old man who had severe DSS accompanied with moderate aortic insufficiency. He underwent successful surgery including relief of DSS and aortic valve repair. Although careful follow-up is mandatory for recurrent AR and DSS, our approach was thought to be feasible for a young adult patient with DSS complicated with AR.

UI MeSH Term Description Entries
D008297 Male Males
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D001022 Aortic Valve Insufficiency Pathological condition characterized by the backflow of blood from the ASCENDING AORTA back into the LEFT VENTRICLE, leading to regurgitation. It is caused by diseases of the AORTIC VALVE or its surrounding tissue (aortic root). Aortic Incompetence,Aortic Regurgitation,Aortic Valve Incompetence,Regurgitation, Aortic Valve,Incompetence, Aortic,Incompetence, Aortic Valve,Insufficiency, Aortic Valve,Regurgitation, Aortic
D012720 Severity of Illness Index Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder. Illness Index Severities,Illness Index Severity
D013536 Suture Techniques Techniques for securing together the edges of a wound, with loops of thread or similar materials (SUTURES). Suture Technics,Suture Technic,Suture Technique,Technic, Suture,Technics, Suture,Technique, Suture,Techniques, Suture
D016896 Treatment Outcome Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series. Rehabilitation Outcome,Treatment Effectiveness,Clinical Effectiveness,Clinical Efficacy,Patient-Relevant Outcome,Treatment Efficacy,Effectiveness, Clinical,Effectiveness, Treatment,Efficacy, Clinical,Efficacy, Treatment,Outcome, Patient-Relevant,Outcome, Rehabilitation,Outcome, Treatment,Outcomes, Patient-Relevant,Patient Relevant Outcome,Patient-Relevant Outcomes
D017548 Echocardiography, Transesophageal Ultrasonic recording of the size, motion, and composition of the heart and surrounding tissues using a transducer placed in the esophagus. Transesophageal Echocardiography
D058385 Cardiac Valve Annuloplasty A type of heart valve surgery that involves the repair, replacement, or reconstruction of the annuli of HEART VALVES. It includes shortening the circumference of the annulus to improve valve closing capacity and reinforcing the annulus as a step in more complex valve repairs. Annular Reduction, Cardiac Valve,Annular Repair, Cardiac Valve,Annulus Reduction, Cardiac Valve,Annulus Repair, Cardiac Valve,Cardiac Valve Annular Reduction,Cardiac Valve Annular Repair,Cardiac Valve Annulus Reduction,Cardiac Valve Annulus Repair,Cardiac Valve Annulus Shortening,Heart Valve Annular Repair,Heart Valve Annuloplasty,Heart Valve Annulus Repair,Valvular Annuloplasty,Annuloplasties, Cardiac Valve,Annuloplasties, Heart Valve,Annuloplasties, Valvular,Annuloplasty, Cardiac Valve,Annuloplasty, Heart Valve,Annuloplasty, Valvular,Cardiac Valve Annuloplasties,Heart Valve Annuloplasties,Valve Annuloplasties, Cardiac,Valve Annuloplasties, Heart,Valve Annuloplasty, Cardiac,Valve Annuloplasty, Heart,Valvular Annuloplasties
D021922 Discrete Subaortic Stenosis A type of constriction that is caused by the presence of a fibrous ring (discrete type) below the AORTIC VALVE, anywhere between the aortic valve and the MITRAL VALVE. It is characterized by restricted outflow from the LEFT VENTRICLE into the AORTA. Subaortic Stenosis, Discrete,Discrete Subaortic Stenoses,Stenoses, Discrete Subaortic,Stenosis, Discrete Subaortic,Subaortic Stenoses, Discrete

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