• Interact Cardiovasc Thorac Surg · May 2012

    Case Reports

    Discrete subaortic stenosis 37 years after repair of a ventricular septal defect.

    • Shinji Kanemitsu, Kiyohito Yamamoto, Takatsugu Shimono, and Hideto Shimpo.
    • Department of Thoracic and Cardiovascular Surgery, Mie University Graduate School of Medicine, Tsu, Japan. skanemitsu70@clin.medic.mie-u.ac.jp
    • Interact Cardiovasc Thorac Surg. 2012 May 1; 14 (5): 683-5.

    AbstractDiscrete subaortic stenosis (DSS) is uncommon in adults after surgical correction of congenital heart defects. There are only a few published reports on the occurrence of DSS in adults. We present an adult case with DSS after repair of a ventricular septal defect (VSD). The case was a 44-year old female patient who underwent VSD closure at 7 years of age. Thirty-seven years later, she presented with congestive heart failure associated with severe subaortic membranous stenosis and atrial fibrillation (AF) that required surgical repair. We report successful surgical treatment of this adult patient with DSS and AF 37 years after repair of a VSD.

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