Saito Tetsuya, Masai Takafumi, Takeda Koji, Sunagawa Gengo, Sawa Yoshiki
Department of Cardiovascular Surgery, Sakurabashi Watanabe Hospital, 2-4-32 Kitaku, Umeda, Osaka, Japan.
Ann Thorac Cardiovasc Surg. 2011;17(5):521-3. doi: 10.5761/atcs.cr.10.01614. Epub 2011 Jul 13.
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.
离散性主动脉瓣下狭窄(DSS)是左心室流出道梗阻的一种罕见形式,尤其是在成年期。此外,主动脉瓣反流(AR)作为DSS的常见后果,需要手术矫正的情况极为罕见。我们报告一例33岁男性患者,其患有严重的DSS并伴有中度主动脉瓣关闭不全。他接受了成功的手术,包括解除DSS和修复主动脉瓣。尽管对于复发性AR和DSS必须进行仔细随访,但我们的方法被认为对于患有DSS合并AR的年轻成年患者是可行的。