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The Journal of Thoracic and Cardiovascular Surgery, Vol 82, 278-280, Copyright © 1981 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Coexisting idiopathic hypertrophic subaortic stenosis and coronary artery disease. Clinical implication and operative management

S Stewart and B Schreiner

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.


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P. Sorajja, S. R. Ommen, R. A. Nishimura, B. J. Gersh, P. B. Berger, and A. J. Tajik
Adverse Prognosis of Patients With Hypertrophic Cardiomyopathy Who Have Epicardial Coronary Artery Disease
Circulation, November 11, 2003; 108(19): 2342 - 2348.
[Abstract] [Full Text] [PDF]


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Copyright © 1981 by The American Association for Thoracic Surgery.