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Chest, Vol 101, 115-118, Copyright © 1992 by American College of Chest Physicians

ARTICLES

"Acquired" subvalvular aortic stenosis after repair of a ventricular septal defect

MP Cicini, S Giannico, B Marino, FS Iorio, A Corno and C Marcelletti
Department of Pediatric Cardiology and Cardiac Surgery, Bambino Gesu Hospital, Rome, Italy.

Of 353 children who underwent surgical repair of a congenital heart defect, including closure of a ventricular septal defect (VSD), 12 patients (four with tetralogy of Fallot, five with a VSD, and three with a double-outlet right ventricle) developed subaortic stenosis, which was diagnosed one to six years after the surgical procedure. Five patients required surgical treatment of the subaortic stenosis, and one required percutaneous balloon angioplasty. Postsurgical subaortic stenosis appears to be an uncommon progressive acquired disease.




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Copyright © 1992 by the American College of Chest Physicians.