Surgical Treatment of Discrete Subaortic Stenosis in an Adult
スポンサーリンク
概要
- 論文の詳細を見る
We report on an adult patient with discrete-type suhbaortic stenosis. A 48-year-old man who had progressed asymptomatically since childhood despite heart murmur was transferred to our hospital. The patient was diagnosed as having severe aortic stenosis with a pressure gradient of 100 mmHg across the aortic valve, associated with a grade II aortic regurgitation. A conventional aortic valve replacement was scheduled. During surgery, the aortic valve was found to be tricuspid but incompetent as a result of shrinking and thickening of the left coronary cusp. A circumferential fibromuscular ridge was observed under the cusps, which corresponded to Kelly's type II discrete subaortic stenosis. Because of the small subaortic area and deformity of the cusp, we performed aortic valve replacement after excision of all cusps and the fibromuscular ridge. Early corrective surgery is recommended for discrete subaortic stenosis to prevention regurgitation progression.
- 社団法人日本循環器学会の論文
- 1997-12-20
著者
-
Sasaki Shinjiro
Department Of Thoracic And Cardiovascular Surgery
-
Sasaki Shinjiro
Department Of Thoracic And Cardiovascular Surgery Osaka Medical College
-
KONDO KEIICHIRO
Department of Thoracie Srugery, Osaka Medical College
-
Nishida Shinichiro
Department Of Internal Medicine Of Nishi Osaka Hospital
-
Asada Kunio
Department of Thoracic Surgery, Osaka Medical College
-
HASEGAWA Shigeto
Department of Thoracic Surgery, Osaka Medical College
-
SAWADA Yoshihide
Department of Thoracic Surgery, Osaka Medical College
-
MATSUYAMA Nanritsu
Department of Thoracic Surgery, Osaka Medical College
-
Sawada Yoshihide
Department Of Thoracic And Cardiovascular Surgery
-
Asada Kunio
Department Of Thoracic And Cardiovascular Surgery Osaka Medical College
-
Tsuji Ryoichi
Department Of Internal Medicine Of Nishi Osaka Hospital
-
Sasaki Shinjiro
Department Of Radiology And Thoracic Surgery. Osaka Medical College
-
MINOHARA Seiichiro
Department of Thoracic Surgery, Osaka Medical College
-
Kondo Keiichiro
Department Of Thoracic And Cardiovascular Surgery Osaka Medical College
-
Kondo Keiichiro
Department Of Thoracie Srugery Osaka Medical College
-
Sumi Shin-ichiro
Thoracic And Cardiovascular Surgery Osaka Medical College
-
MATSUYAMA Nanritsu
the Department of Thoracic Surgery, Hirakata City Hospital
-
Tokumaru Tomohiro
Department of Thoracic and Cardiovascular Surgery, Osaka Medical College
-
Asada Kunio
Department Of Electronic Engineering The University Of Tokyo
-
Sumi Shin-ichiro
Institute For Biotechnology Research Wakunaga Pharmaceutical Co. Itd
-
Matsuyama Nanritsu
The Department Of Thoracic Surgery Hirakata City Hospital
-
Minohara Seiichiro
Department Of Thoracic Surgery Osaka Medical College
-
Sasaki Shlnjiro
2nd Div. Dept. Of Surg. Osaka Med. Coll.
-
Hasegawa Shigeto
Department Of Thoracic And Cardiovascular Surgery Osaka Medical College
-
Sasaki Shinjiro
Department Of Thoracic Surgery And Physiology Osaka Medical College
-
Tokumaru Tomohiro
Department Of Thoracic And Cardiovascular Surgery Osaka Medical College
-
Sasaki Shinjiro
Department Of Thoraclc Surgery Osaka Medical College
-
Sasaki Shinjiro
Dept. Of Surg. Osaka Med. Coll.
-
Asada Kunio
Dept. Of Thoracic Surgery Osaka Medical College
関連論文
- Characterization of Recombinant Human Chymase Expressed in Escherichia coli
- ANGIOGRAPHIC COMPARISON OF THE INTERNAL MAMMARY ARTERY GRAFT AND THE SAPHENOUS VEIN GRAFT WITHIN 2 MONTHS AND 6 to 12 MONTHS AFTER CORONARY ARTERY BYPASS SURGERY
- -226-INTRAOPERATIVE EVALUATION OF BYPASS GRAFTABILITY OF PROXIMALLY OBSTRUCTED CORONARY ARTERY BY ULTRASONIC ECHOGRAPHY
- THE UTILIZATION OF COMPUTED TOMOGRAPHY IN DIAGNOSIS OF CORONARY ARTERY DYPASS GRAFT PATENCY : Ischemic Heart Disease (II), Coronary Circulation : II : 48 Annual Scientific Meeting, Japanese Circulation Society
- Oral Administration of a Specific Chymase Inhibitor, NK3201, Suppresses the Development of Aneurysmal Dilatation on Hamster Experimental Aneurysm Model
- Possible Roles of Angiotensin II-Forming Enzymes, Angiotensin Converting Enzyme and Chymase-like Enzyme, in the Human Aneurysmal Aorta
- Role of chymase in the development of aneurysmal formation; An experimental aneurysm model
- Dual-Chamber Pacing in Hypertrophic Obstructive Cardiomyopathy : A Comparison of Acute and Chronic Effects
- Surgical Treatment Of Traumatic Thoracic Aorta Rupture A7-Year Experience
- RESULTS OF MULTIPLE CORONARY ARTERY BYPASS GRAFTING IN JAPANESE PATIENTS
- CORONARY ARTERY BYPASS GRAFTING BY UTILIZING THE INTERNAL MAMMARY ARTERY GRAFT IN 100 JAPANESE PATIENTS
- Prosthetic Ball Valve Endocarditis due to Gemella Species
- ECHOCARDIOGRAPHIC STUDIES ON THE LEFT VENTRICULAR FILLING EFFICIENCY AFTER MITRAL VALVE REPAIR SURGERY : Valvular heart disease : FREE COMMUNICATIONS (Abstract) : 45 Annual Scientific Meeting, Japanese Circulation Society
- ECHOCARDIOGRAPHIC FOLLOW UP STUDIES ON PATIENTS WITH MITRAL ANNULOPLASTY : Echocardiography I : PROCEEDINGS OF THE 44th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- AN ANALYSIS OF LEFT VENTRICULAR FUNCTION BY ONE-PLANE ANGIOCARDIOGRAPHY
- 157. Some Considerations on Indication of Radical Surgery for Tetralogy of Fallot : Studies on Fine Structure of Lungs in the Cases of Tetralogy of Fallot
- CLINICAL EXPERIENCE WITH AN IMPLANTABLE PACEMAKER (II) : Indication, underlying disease, and long-term follow-up of patients : Proceedings of the 34th Annual Meeting of the Japanese Circulation Society (Part II)
- The Criterion Indicating Open Commissurotomy on Mitral Stenosis with Atrial Fibrillation : Part I
- Surgical Experience with the Acquired Valvular Heart Disease
- 17) Studies on Congenital Heart Diseases with Pulmonary Hypertension
- ELECTRON MICROSCOPIC CYTOCHEMISTRY OF THE MYOCARDIUM (VII) : ADENYLATE CYCLASE ACTIVITY IN HUMAN MYOCARDIAL BIOPSIES : Cardiac Metabolism : FREE COMMUNICATIONS (II) : PROCEEDINGS OF THE 49th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- Right Ventricular Myxoma: Report of a Case
- -225-CORONARY ARTERY BYPASS UTILIZING GASTROEPIPLOIC ARTERY : Ischemic Heart Disease I : FREE COMMUNICATIONS(I) : PROCEEDINGS OF THE 53th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- A CASE OF SUCCESSFUL CORONARY ARTERY BYPASS GRAFTING IN A PATIENT WITH ANGINA PECTORIS AND HYPOTHYROIDISM
- THE EVALUATION OF CARDIAC FUNCTION IN CHRONICALLY PACED PATIENTS : PROCEEDINGS OF THE 47th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY : Arrhythmia
- -168-FOLLOW UP OF THE PATIENTS WHO WERE IMPLANTED PACEMAKERS, AND PROBLEMS FOR PACEMAKER EXCHANGE : Arrythmia, His Bundle Electrogram , Electrophysiology : PROCEEDINGS OF THE 42nd ANNUAL MEETING OF THE JAPANESE CIRCULATION SOCIETY
- LONG-TERM FOLLOW UP OF PATIENTS UNDERGOING PACEMAKER IMPLANTATION FOR SICK SINUS SYNDROME : Arrhythmia : 46th Annual Scientific Meeting, Japanese Circulation Society
- ELECTRON MICROSCOPIC CYTOCHEMISTRY OF THE MYOCARDIUM (V) : ACID PHOSPHATASE ACTIVITY IN HUMAN MYOCARDIAL BIOPSIES : Pathophysiology : 46th Annual Scientific Meeting, Japanese Circulation Society
- LATE RESULTS OF SURGICAL REPAIR OF VENTRICULAR SEPTAL DEFECT : IIIrd Auditorium
- PRE- AND POSTOPERATIVE EVALUATION OF LEFT ATRIAL PRESSURE IN MITRAL VALVE DISEASE : Proceedings of the 34th Annual Meeting of the Japanese Circulation Society (Part I)
- 179. Clinical Experience with Implantable Pacemaker : Report of 10 Cases
- Arthritis and Meningitis : The First Manifestations of Bacterial Endocarditis in 2 Patients
- Preischemic infusion of α-hANP elicits myoprotective effects against ischemia reperfusion possibly thorough a NO-PKC dependent mechanism
- Preoperative Parameters Predicting the Postoperative Course of Endoventricular Circular Patch Plasty
- Trandolapril Reduces Infarction Area after Middle Cerebral Artery Occlusion in Rats
- Experiential Assessment of Endoventricular Circular Patch Plasty in Patients with Depressed Left Ventricular Function due to Ischemia
- Indications and Proplems of Coronary Artery Bypass Grafting Without Cardiopulmonary Bypass
- Idiopathic Mediastinal Fibrosis:Report of a Case
- Usefulness of Tc-99m MIBI SPECT in predicting multidrug resistance gene expression levels in non-small cell lung cancer : a preliminary report
- The synergistic effects of hyperthermia and anticancer drugs on induction of apoptosis
- INFLUENCE OF DIABETES MELLITUS ON COTONARY ARTERY BYPASS GRAFT SURGERY
- -316- IONIC ALTERATIONS IN MYOCARDIAL CELLS DURING OPEN HEART SURGERY STUDIED BY X-RAY MICROANALYSIS
- Case of primary malignant hemangiopericytoma of the heart expressing basement membrane-degradable enzymes
- Stent-Graft Placement for Mycotic Aneurysm of the Thoracic Aorta : Report of a Case
- Left Atrial Free-Floating Ball Thrombus With Recent Cardioembolic Stroke
- Surgical Treatment of Discrete Subaortic Stenosis in an Adult
- Expression of thrombomodulin in human aortic smooth muscle cells with special reference to atherosclerotic lesion types and age differences
- Angiotensin II type 2 receptor overexpressed hearts exhibit reduced susceptibility to ischemia-reperfusion injury
- Descending Branch of Lateral Femoral Circumflex Artery as a New Alternative Free Graft in Re-do CABG
- Fabrication of Bi_2Sr_2CaCu_2O_x High T_c Superconducting Film with H_2O Assisted Metalorganic Chemical Vapor Deposition