[2-dimensional echocardiography in fixed fibrous subaortic stenosis. Correlation with hemodynamics and M-mode echocardiography]

Abstract

Comparative diagnostic capacity is analyzed between two dimensional echocardiography (E-BD), hemodynamics, surgery and the M-Mode, to accurately establish the diagnosis, variety and severity of fixed fibrous subaortic stenosis, in 29 patients, whose previous diagnosis were made by two dimensional images, using paraesternal, apical and subxiphoid long axis. Group I is made up of 17 patients who had two dimensional echocardiography, M-Mode, and catheterization; Group II is composed of 12 patients who only had two-dimensional echocardiography and M-Mode. Within Group I, hemodynamics showed subaortic gradient in 81%, transvalvular in 13% and no gradient in 6%; the ventriculography showed subaortic obstruction only in 59% of the patients and was normal in 41%. The M-Mode echocardiography registered protosystolic aortic closure (CPSAo) in 50%; the subaortic obstruction was seen as a band, in 44%, non-specific echoes in the outflow tract in 12% and this was normal in 44%. The two cases with transvalvular gradient, the M-Mode registered the subaortic band, and in the case without gradient, the ventriculography showed the subvalvular obstruction. In Group II, the diagnostic signs of M-Mode were: CPSAo in 58%, band in 17%, non specific echoes in the outflow tract in 8%, and this was normal in 75%. The results support other data in that two-dimensional Echocardiography is more sensitive and more specific than M-Mode, intraventricular pressure curves and ventriculography.(ABSTRACT TRUNCATED AT 250 WORDS)