Abstract

Congenital diseases causing obstruction of the right ventricular outflow tract (RVOT) are common, but the isolated subvalvular pulmonary stenosis is a very rare condition. Its diagnosis is obscure because of difficulty of comprehension of cardiac anatomy. We report a case of a 61-year-old female who presented for increasing shortness of breath on moderate exertion. Echocardiography showed an obstruction in the RVOT during systole by a subpulmonary fibrous ring with a mean gradient of 75mmHg through the ring. Under cardiopulmonary bypass, surgical resection was successfully performed. The patient continued to do well on follow-up in the out-patient clinic, 12 months postoperative.

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