D'Urbano M, Sbarbaro G F, Seveso G, Aiazzi L, Castelli C, Passoni F, Caprioli G, Baldrighi G
Minerva Med. 1983 Mar 10;74(9-10):487-92.
19 patients affected by discrete subvalvular aortic stenosis were studied by M-mode echocardiography. The diagnosis was confirmed by cardiac catheterism and angiocardiography and by anatomic evidence in operative room. The most frequent echocardiographic pattern was the abnormal protosystolic movement of aortic valve leaflets, that was found in all the patients. A discrete linear echo in the outflow tract of the left ventricle was observed in almost half of the cases. In 40% of the cases the left ventricular outflow tract was narrowed. The relations between these echocardiographic patterns and the anatomical kinds of discrete subaortic stenosis are discussed. No correlations were found between echocardiographic patterns and severity of the subaortic stenosis.
对19例患有离散性主动脉瓣下狭窄的患者进行了M型超声心动图研究。诊断通过心导管检查、心血管造影以及手术室的解剖证据得以证实。最常见的超声心动图表现是主动脉瓣叶在收缩前期的异常运动,所有患者均有此表现。几乎半数病例在左心室流出道观察到一条离散的线性回声。40%的病例左心室流出道狭窄。文中讨论了这些超声心动图表现与离散性主动脉瓣下狭窄解剖类型之间的关系。未发现超声心动图表现与主动脉瓣下狭窄严重程度之间存在相关性。