Patanè Salvatore, Patanè Francesco, Marte Filippo, Pagano Giuseppina Tindara, Di Tommaso Eleonora, Carerj Scipione
Int J Cardiol. 2009 Apr 3;133(2):e81-3. doi: 10.1016/j.ijcard.2007.11.035. Epub 2008 Jan 15.
Discrete subvalvar aortic stenosis is a variable and progressive disease. Recurrent obstruction may reappear despite the adequacy of surgical excision. Aortic regurgitation is associated with numerous eponymous signs, it is also a complication of discrete subvalvar aortic stenosis and its detection often triggers referral for surgery. It has also been suggested that an infant or young child with a well-defined 30 mm Hg or more peak gradient should have removal of the subvalvar obstruction. We describe a case of subvalvular aortic stenosis associated with aortic regurgitation in a 10-year-old Italian boy.
离散性瓣下主动脉瓣狭窄是一种可变的进行性疾病。尽管手术切除充分,复发性梗阻仍可能再次出现。主动脉瓣反流与众多以人名命名的体征相关,它也是离散性瓣下主动脉瓣狭窄的一种并发症,其发现往往会促使患者转诊接受手术。也有人提出,对于一名峰值压差明确为30毫米汞柱或更高的婴幼儿,应切除瓣下梗阻。我们描述了一名10岁意大利男孩患瓣下主动脉瓣狭窄并伴有主动脉瓣反流的病例。