In patients with subaortic stenosis and a ventricular septal defect, those with deviated muscular structures present earlier, have a higher incidence of aortic arch obstruction, and require surgery at a younger age compared to those with short segment fibromuscular stenosis.
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May prompt earlier surveillance in infants with VSD and deviated muscular stenosis; leaves open whether morphology-specific strategies alter outcomes.
Kitchiner et al. (1994) studied this question.
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