title: [Subaortic stenosis more than twenty years after surgical repair of a partial atrial septal defect in an adult].
abstract: Subaortic stenosis after surgical correction of a partial atrioventricular septal defect is uncommon. When it occurs, it is usually diagnosed 6-8 years after early surgical repair in childhood. We present a female patient who underwent mitral valve cleft repair and closure of a partial atrial septal defect with a Teflon patch at the age of 48 years. Twenty-two years later, she presented with severe subaortic stenosis that required surgical repair. We analyze the intracardiac morphological factors associated with the development of late subaortic stenosis. We recommend long-term follow-up, even after surgical repair in adults.
authors.affiliation: Servicio de Cirugía Cardíaca, Instituto de Ciencias de Corazón (ICICOR), Hospital Universitario de Valladolid, Valladolid, Spain. aguerrerop@medynet.com
authors.forename: Yolanda
authors.initials: Y
authors.lastname: Carrascal Hinojal
authors.forename: Javier
authors.initials: J
authors.lastname: Gualis Cardona
authors.forename: Enrique
authors.initials: E
authors.lastname: Fulquet Carreras
authors.forename: Angel
authors.initials: A
authors.lastname: Martínez
mesh_terms: D000368:Aged; D001020:Aortic Stenosis, Subvalvular / Q000209:etiology*; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000601:surgery*; D006801:Humans; D011183:Postoperative Complications / Q000175:diagnosis* / Q000209:etiology; D013997:Time Factors