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Chest, Vol 74, 590-593, Copyright © 1978 by American College of Chest Physicians

ARTICLES

Left ventricular outflow obstruction produced by a pedunculated fibroma in a newborn: clinical, angiographic, echocardiographic and surgical observations

PB Oliva, JC Breckinridge, ML Johnson, CO Brantigan and OP O'Meara

An unusual case of a one-day-old infant with significant left ventricular outflow obstruction produced by a pedunculated fibroma is described. The clinical findings were indistinguishable from severe valvular or subvalvular aortic stenosis. The tumor was difficult to detect by echocardiography. It produced an echo-free widening of the left ventricular outflow tract. Left ventricular cineangiography clearly demonstrated a mobile mass beneath the aortic valve.




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Copyright © 1978 by the American College of Chest Physicians.