Document Detail

Coexisting idiopathic hypertrophic subaortic stenosis and coronary artery disease. Clinical implication and operative management.
MedLine Citation:
PMID:  6973047     Owner:  NLM     Status:  MEDLINE    
Patients with either coronary artery disease (CAD) or idiopathic hypertrophic subaortic stenosis (IHSS) may have angina as a dominant symptom. It is also possible that these two diseases may coexist in the same patient. Such an association has been reported in 25% of patients with IHSS who are over 45 years of age. It is important that both entities be looked for in the evaluation of the patient with angina, particularly when operative management is contemplated. Treatment of one and not the other may leave the patient symptomatic. We have encountered three patients with both CAD and severe IHSS and have managed each with septal myectomy and coronary artery revascularization. Each has obtained significant symptomatic improvement.
S Stewart; B Schreiner
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of thoracic and cardiovascular surgery     Volume:  82     ISSN:  0022-5223     ISO Abbreviation:  J. Thorac. Cardiovasc. Surg.     Publication Date:  1981 Aug 
Date Detail:
Created Date:  1981-09-25     Completed Date:  1981-09-25     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376343     Medline TA:  J Thorac Cardiovasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  278-80     Citation Subset:  AIM; IM    
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MeSH Terms
Angina Pectoris / diagnosis,  etiology
Cardiomyopathy, Hypertrophic / complications*,  surgery
Coronary Artery Bypass
Coronary Disease / complications*,  surgery
Heart Septum / surgery
Middle Aged

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