Highlights an unusual, diffuse form of congenital aortic stenosis that mimics organic subaortic stenosis and complicates surgical management.
Alerts clinicians to this rare diffuse variant in congenital aortic stenosis; case reports leave optimal management strategies open.
Three patients with severe congenital aortic stenosis in whom there was unusual thickening of the aortic valve associated with supra-aortic stenosis and aortic hypoplasia are described. The clinical presentation suggested the diagnosis of organic subaortic stenosis and surgical management presented problems. It is suggested that the aortic stenosis in these patients may be part of a more diffuse abnormality.
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Somerville et al. (1971) studied this question.
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