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Contemporary Review of Subaortic Stenosis Characteristics, Multi-modality Imaging and Management
Aro Daniela Arockiam1, Akiva Rosenzveig1, Sharmeen Sorathia1
1Section of Cardiovascular Imaging, Department of Cardiovascular Medicine, Sydell and Arnold Miller Heart, Vascular, and Thoracic Institute, Cleveland Clinic, 9500 Euclid Avenue, Main Campus, J1-5, Cleveland, OH, 44195, USA.
Subaortic stenosis (SAS) is a significant cause of left ventricular outflow tract obstruction. Management requires multi-modality imaging and a multidisciplinary approach for optimal outcomes.
Area of Science:
- Cardiology
- Medical Imaging
- Cardiovascular Surgery
Background:
- Subaortic stenosis (SAS) is a key cause of fixed left ventricular outflow tract obstruction.
- It affects a significant proportion of patients with this condition.
Purpose of the Study:
- To offer a comprehensive review of subaortic stenosis.
- This includes clinical aspects, imaging, treatments, and outcomes.
Main Methods:
- Review of contemporary literature on subaortic stenosis.
- Focus on clinical perspectives, multi-modality imaging, and treatment strategies.
Main Results:
- Echocardiography is the primary diagnostic tool for SAS.
- Advanced imaging like TEE, CCT, and CMR aid in anatomical and functional assessment.
- Surgery offers excellent outcomes, but recurrence is notable, especially in complex cases.
Conclusions:
- A multidisciplinary approach is crucial for managing SAS.
- This involves integrated multi-modality imaging and expert surgical intervention.
- Close surveillance is essential for improving patient outcomes.
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