By Michael Y. Henein MSc, PhD, Mary Sheppard MD, FRCPath, John Pepper M.Chir, FRCS, Michael Rigby MD, FRCP (auth.)
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Extra info for Clinical Echocardiography
When confirmed as the cause of symptoms, surgical excision is the best line of treatment, 31 32 I 2: Aortic Valve A B although it tends to recur unpredictably. Dynamic subaortic stenosis occurring early in life represents a component of hypertrophic cardiomyopathy. Muscular subaortic stenosis is more frequently seen in the elderly with a small left ventricular cavity irrespective of the cause of left ventricular hypertrophy. 6 When there is significant outflow tract narrowing it results in mid-systolic closure of the aortic valve.
Eur Heart J 2002;23: 162-171. Come PC, Riley MF. M mode and cross-sectional echocardiographic recognition of fibrosis and calcification of the mitral valve chordae and left ventricular papillary muscles. Am J Cardio/1982;49:461-466. Naito M, Morganroth J, Mardelli TJ, et al. Rheumatic mitral stenosis: cross-sectional echocardiographic analysis. Am Heart J 1980;100:34-40. Pellikka PA, Tajik AJ, Khandheria BK, et al. Carcinoid heart disease: clinical and echocardiographic spectrum in 74 patients.
0 em have been reported. 0 em suggests the need for valve surgery even in the absence of symptoms. If ignored it may increase the operative mortality and result in a poor prognosis. 74- 77 Acute aortic regurgitation, on the other hand, is a surgical emergency. Since it is always due to infective endocarditis, blood cultures should be taken, the organism isolated, and antibiotics started before urgent surgery. Vasodilators may help to stabilize the condition until surgery is available. Aortic regurgitation complicating acute dissection is another surgical emergency.