J Echocardiogr (2014) 12:162–164 DOI 10.1007/s12574-014-0228-y IMA G ES IN CAR D IOV A S C ULA R U LTRAS OU ND A case with discrete ﬁbromuscular subaortic stenosis: evaluation by three-dimensional echocardiography • • • Rajiv Bharat Kharwar Safal Sudhanshu Dwivedi Ram Kirti Saran Sharad Chandra Received: 31 March 2014 / Revised: 1 September 2014 / Accepted: 30 September 2014 / Published online: 22 October 2014 Japanese Society of Echocardiography 2014 A 20-year-old male presented to our department for eval- with an eccentric central opening, but also outlined its uation of three episodes of exertional syncope in the last relationship with the surrounding structures. 6 months. Cardiovascular examination revealed a grade III/ The discrete ﬁbromuscular subaortic stenosis (DSAS type VI ejection systolic murmur at the right second intercostal II) is a rare cause of LV (Left ventricle) outﬂow obstruction, space not radiating to carotids. An electrocardiogram and is distinct from the membranous type (DSAS type I) [1, 2]. showed left ventricular hypertrophy with strain pattern. TheassociatedsevereconcentricLVH can beascribedtoboth Two-dimensional transthoracic echocardiography with pressure overload as well as a component of primary hyper- color Doppler (Fig. 1a–c; Supplementary Video 1) showed trophic cardiomyopathy, and has been especially associated the
Journal of Echocardiography – Springer Journals
Published: Oct 22, 2014
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