Hanrath P, von Essen R, Bleifeld W, Effert S
Z Kardiol. 1976 Nov;65(11):964-71.
In three patients with valvular aortic disease in addition isiopathic hypertrophic subaortic stenosis (IHSS) was proven by echocardiography. From the clinical standpoint the dynamic subvalvular stenosis was not supposed in all cases. IHSS was echocardiographically characterized by asymmetrical septum hypertrophy and systolic anterior movement of the anterior mitral leaflet. Isolated aortic valve insufficiency was found in two patients, and combined stenosis and insufficiency in one patient. Mitral leaflet fluttering - indicative of aortic valve insufficiency - was observed in two patients. The identification of the dynamic subvalvular stenosis in patients with valvular aortic disease is important for the therapeutical approach. Echocardiography is very suitable for the diagnosis of this combined heart disease.
在3例患有瓣膜性主动脉疾病的患者中，经超声心动图证实还合并特发性肥厚性主动脉瓣下狭窄（IHSS）。从临床角度来看，并非所有病例都考虑存在动态性瓣下狭窄。IHSS在超声心动图上的特征为不对称性室间隔肥厚和二尖瓣前叶收缩期向前运动。2例患者发现单纯主动脉瓣关闭不全，1例患者合并狭窄和关闭不全。2例患者观察到二尖瓣叶扑动——提示主动脉瓣关闭不全。对于患有瓣膜性主动脉疾病的患者，识别动态性瓣下狭窄对治疗方法的选择很重要。超声心动图非常适合诊断这种合并性心脏病。
