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Published on: November 4, 2015
Subpulmonary membrane: A rare cause of right ventricular outflow tract obstruction
Rajat Gupta1, Garima Garg2, Tek Singh Mahant2
1Department of Pediatric Cardiology, Fortis Hospital, Mohali, Punjab, India.
Abstract:
Subpulmonary membrane is a rare cause of right ventricular outflow tract (RVOT) obstruction, and only a few case reports exist with or without associated ventricular septal defect. We report a series of three cases with subpulmonary membrane causing RVOT obstruction. Two of these have been operated (the first case operated after unsuccessful attempt at balloon dilatation), and the third case is on follow-up at present.
Insights
Subpulmonary membrane, a rare cause of right ventricular outflow tract obstruction, is detailed in three pediatric cases. Surgical intervention was successful in two cases, highlighting effective treatment for this uncommon condition.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Congenital Heart Disease
Background:
- Subpulmonary membrane is an uncommon congenital anomaly causing obstruction of the right ventricular outflow tract (RVOT).
- Existing literature consists of limited case reports, often associated with ventricular septal defects.
Observation:
- This report presents three pediatric cases of subpulmonary membrane leading to RVOT obstruction.
- Two patients underwent surgical resection of the membrane.
- One patient's initial treatment involved balloon dilatation, which was unsuccessful, necessitating surgery.
Findings:
- The study details the clinical presentation and management of three patients with subpulmonary membrane.
- Surgical intervention proved effective in two cases for relieving RVOT obstruction.
- The third case is currently under observation post-diagnosis.
Implications:
- This series expands the understanding of subpulmonary membrane as a cause of RVOT obstruction.
- It underscores the role of surgical management in treating this rare condition.
- Further research may elucidate optimal timing and techniques for intervention.
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