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European Heart Journal 1981 2(6):525-530;
Copyright © 1981 by the European Society of Cardiology.
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© 1981 The European Society Of Cardiology

Echocardographic findings in discrete subaortic stenosis associated with infective endocarditis of the aortic valve

H. GARCIA-DEL-CASTILLO, J. CANDELL-RIERA and J. SOLER-SOLER

Servicio de Cardiologia, Departamento de Medicina, Ciudad Sanitaria de la Seguridad Social Barcelona, Spain

Received 18 February 1981; revised 10 April 1981; .

Request for reprint to: Dr H. Garcia-del-Castillo, Servicio de Cardiologia, Departamento de Medicina, Ciudad Sanitaria de la Seguridad Social, Paseo Valle Hebron S/n. Barcelona 35. Spain

Abstract

The echocardiographic findings of three patients with discrete subaortic stenosis associated with infective endocarditis are reported. This disorder was suspected because of early systolic aortic valve partial closure followed by a fine fluttering throughout systole in each case. Narrowing of the left ventricular outflow tract as judged by the left ventricular outflow tract/aortic root ratio was of limited diagnostic value because the presence of echoes of aortic vegetations at this level in two cases prevented accurate measurement of the outflow tract. This study suggests that a careful echocardiographic study may detect discrete subaortic stenosis in the presence of aortic valve endocarditis. Thus, whenever left ventricular outflow obstruction is associated with infective endocarditis, early systolic aortic valve partial closure followed by a fine fluttering throughout systole should be carefully sought

Key Words: Echocardiography • bacterial endocarditis • subaortic stenosis


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