title: Discrete subaortic stenosis 37 years after repair of a ventricular septal defect.
abstract: Discrete 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.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Mie University Graduate School of Medicine, Tsu, Japan. skanemitsu70@clin.medic.mie-u.ac.jp
authors.forename: Shinji
authors.initials: S
authors.lastname: Kanemitsu
authors.forename: Kiyohito
authors.initials: K
authors.lastname: Yamamoto
authors.forename: Takatsugu
authors.initials: T
authors.lastname: Shimono
authors.forename: Hideto
authors.initials: H
authors.lastname: Shimpo
mesh_terms: D000328:Adult; D001281:Atrial Fibrillation / Q000209:etiology; D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D002648:Child; D021922:Discrete Subaortic Stenosis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D004452:Echocardiography; D005260:Female; D006333:Heart Failure / Q000209:etiology; D006345:Heart Septal Defects, Ventricular / Q000601:surgery*; D006801:Humans; D012086:Reoperation; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome