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Angiology
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Discrete Membranous Sub-Aortic Stenosis in Adult Patient Obtained by Echocardiography and Not Proved by Catheterization

Ehud Grenadier, M.D., F.I.C.A.

Department of Cardiology, Lady Davis Carmel Hospital, Haifa, Israel

Shlomo Keidar, M.D., F.I.C.A.

Department of Cardiology, Lady Davis Carmel Hospital, Haifa, Israel

Gad Alpan, M.D.

Department of Cardiology, Lady Davis Carmel Hospital, Haifa, Israel

Simha Milo, M.D.

Department of Cardiovascular Surgery, The Haim Sheba Medical Center and Sackler School of Medicine, Tel Hashomer, Israel

Avraham Palant, M.D., F.I.C.A.

Department of Cardiology, Lady Davis Carmel Hospital, Haifa, Israel

A case of a 60-year-old patient with discrete membranous sub-aortic stenosis is described. The diagnosis was established based on echocardiog raphic evaluation by demonstration of a premature aortic valve closure and a sub-aortic membrane. No evidence of the sub-aortic membrane was noticed on cardiac catheterization. At operation, a discrete sub-aortic membrane was found 9 mm below the aortic valve, leaving an aperture of 1 cm diameter and a mildly deformed stenotic aortic valve. We stress the importance of careful pre-operative echocardiographic evaluation of every patient suspected of hav ing any kind of left ventricular outflow tract obstruction, even if catheterization data are not contributory.

Angiology, Vol. 33, No. 12, 800-805 (1982)
DOI: 10.1177/000331978203301205
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