[Role of surgery in subaortic stenosis. Report of 56 cases].
BACKGROUND
Subaortic stenosis is a rare congenital heart disease defined as a left ventricular outflow tract obstruction. We reviewed our surgical experience in this cardiac disease with particularly attention to the different anatomical types of the obstruction.


METHODS
From January 1987 to December 1998, 56 patients with a mean age of 12.4 years underwent surgical treatment of subaortic stenosis in our Institution. The diagnosis included: subaortic membrane in 44 cases, fibromuscular process in seven and tunnel like hypertrophy in five.


RESULTS
There were two hospital deaths (2/56 = 3.5%) and three patients presented postoperative heart block. The first postoperative echocardiographic control showed a mean fall in left ventricleaorta gradient of 78%. In a mean follow-up of 36 months, there were no deaths. All patients periodically controlled, showed an echocardiographic progression of the gradient and it was not related to the different anatomical types of the obstruction. There were no signs of aortic insufficiency progression.


CONCLUSIONS
We can affirm that the surgical treatment of the subaortic obstruction is simple and safe. The medium and long-term progression toward the recurrence is independent to the anatomical type and justify the need of serial echocardiographic control.
Abid
A
A
Service de chirurgie cardiovasculaire, hôpital La Rabta, 1007 Jebbari-Bab Saadoun, Tunis, Tunisie.
Denguir
R
R
Chihaoui
M
M
Khayati
A
A
Abid
F
F
D001021:Aortic Valve / Q000002:abnormalities* / Q000601:surgery*; D006348:Cardiac Surgical Procedures; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology; D013997:Time Factors