Percutaneous balloon dilatation in a patient with membrane subaortic stenosis: a propos of a case

Authors

  • Carlos Mariño Servicio de Cardiología, Instituto Nacional de Salud del Niño, Lima, Perú. Maestrando en Docencia e Investigación en Salud, Universidad Nacional Mayor de San Marcos.
  • Julio Castillejo Servicio de Anestesiología, Hospital Guillermo Almenara, EsSalud, Lima, Perú. Maestrando en Docencia e Investigación en Salud, Universidad Nacional Mayor de San Marcos.
  • Carlos Morales Servicio de Medicina, Instituto Nacional de Salud del Niño, Lima, Perú. Maestrando en Docencia e Investigación en Salud, Universidad Nacional Mayor de San Marcos.
  • Hernán Vela Servicio de Cardiología, Instituto Nacional de Salud del Niño, Lima, Perú.
  • César Salinas Servicio de Cardiología, Instituto Nacional de Salud del Niño, Lima, Perú.

DOI:

https://doi.org/10.15381/anales.v74i4.2707

Keywords:

Discrete subaortic stenosis, percutaneous treatment, balloon dilation.

Abstract

Discrete subaortic stenosis is a rare cardiac lesion with left ventricle outflow narrowed by the presence of a muscular or fibrous ring. It accounts for 8-20% of all forms of left ventricle outflow tract obstruction. Surgery is considered the treatment of choice when the peak gradient is over 50 mmHg or in patients with lower gradients and either progression of aortic regurgitation, dilated ventricular diameters, left ventricular dysfunction or symptoms. We report the case of a child with membrane subaortic stenosis and symptoms of heart failure and compromised left ventricular function, in whom percutaneous balloon dilatation was performed as an alternative to surgery. This is the first case reported in the country with successful outcome.

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Published

2013-12-30

Issue

Section

Casos clínicos

How to Cite

1.
Mariño C, Castillejo J, Morales C, Vela H, Salinas C. Percutaneous balloon dilatation in a patient with membrane subaortic stenosis: a propos of a case. An Fac med [Internet]. 2013 Dec. 30 [cited 2024 Jul. 17];74(4):327-30. Available from: https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/2707