Fixed subaortic stenosis: a clinical dilemma for clinicians and patients

Congenit Heart Dis. 2013 Sep-Oct;8(5):450-6. doi: 10.1111/chd.12127. Epub 2013 Aug 15.

Abstract

Subaortic stenosis carries considerable morbidity and mortality. In most cases, patients have an underlying left ventricular outflow tract morphology that promotes turbulence at the outflow tract, which induces the development of subaortic fibromuscular tissue. A subset of patients will progress to develop severe stenosis and aortic regurgitation, but it has been difficult to determine which patients are at risk. While resection of the subaortic tissue improves immediate outcome, many patients have recurrence of both stenosis and regurgitation, questioning the efficacy of surgical intervention in asymptomatic patients. This review article describes the current understanding of the etiology, treatment, and prognosis of subaortic stenosis.

Keywords: Left Ventricular Outflow Tract Obstruction; Subaortic Membrane; Subaortic Stenosis.

Publication types

  • Review

MeSH terms

  • Discrete Subaortic Stenosis* / etiology
  • Discrete Subaortic Stenosis* / mortality
  • Discrete Subaortic Stenosis* / surgery
  • Disease Progression
  • Humans
  • Morbidity
  • Prognosis
  • Risk Factors
  • Ventricular Outflow Obstruction* / etiology
  • Ventricular Outflow Obstruction* / mortality
  • Ventricular Outflow Obstruction* / surgery