rodete septal basal

English translation: ventricular septal bulge

14:36 Feb 5, 2019
Spanish to English translations [PRO]
Medical - Medical: Cardiology / Echocardiogram
Spanish term or phrase: rodete septal basal
Hi all,

This is the discussion of the results of an M-mode echocardiogram, not a lot of context as the whole document is only 150 words.
My problem is how to translate "rodete" - is it something to do with "cushion" (endocardial cushion), or should it be "ring"? Or something else? Any help appreciated.

"VI no dilatado. Grosor normal de paredes con ***rodete septal basal*** de 13 mm."

"Conclusiones:
C. ISQUEMICA. ALTERACIONES DE CONTRACTILIDAD SEGMENTARIA DESCRITAS. DISFUNCION SISTOLICA"
Neil Ashby
Spain
Local time: 08:16
English translation:ventricular septal bulge
Explanation:
Hola Neil,
Diría que rodete septal en tu contexto se refiere específicamente al segmento subaórtico del septo interventricular, referido habitualmente en inglés como ventricular septal bulge.

La hipertrofia localizada del segmento subaórtico del septo interventricular (rodete septal o septo sigmoideo) es un hallazgo habitual en estudios de imagen que con frecuencia ha sido descrito en población de edad avanzada. 
https://www.cardioteca.com/cardiologia-clinica-blog/147-card...

A localized hypertrophy of the subaortic segment of the ventricular septum - ventricular septal bulge (VSB) - has been frequently described in series of elderly persons
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4495884/

Distinguishing ventricular septal bulge versus hypertrophic cardiomyopathy in the elderly
https://heart.bmj.com/content/102/14/1087


--------------------------------------------------
Note added at 1 hr (2019-02-05 16:08:45 GMT)
--------------------------------------------------

El estudio con Cardio TC debe incluir los siguientes parámetros:
-Evaluación de la válvula aórtica (...)
- Evaluación del tracto de salida
• Se debe notificar la presencia de rodete septal basal importante que pueda interferir con el despliegue de la válvula.
https://www.google.es/url?sa=t&source=web&rct=j&url=https://...

se debe valorar por ecocardiograía la existencia de hipertrofia septal, dado que en los casos con rodete septal severo existe el riesgo de desplazamiento anterógrado de la válvula.
http://dehesa.unex.es/bitstream/handle/10662/6169/TDUEX_2017...

A localized hypertrophy of the subaortic segment of the ventricular septum has been frequently described in elderly persons, and variously termed subaortic ventricular septal bulge (VSB), sigmoid-shaped septum, localized or discrete upper septal hypertrophy. It has been considered mainly as an incidental finding associated with older age and hypertension, although some authors have suggested that it may be part of the spectrum of hypertrophic cardiomyopathy, may determine some degree of left ventricular (LV) obstruction, which in turn may potentially cause symptoms such as syncope and dyspnea on effort
(...)
According to a combination of criteria applied in previous studies, the presence of subaortic VSB was defined as a proximal focal area (within the first third of total septal length) of localized septal hypertrophy with a dune-like structure protruding in the LVOT, a thickness ≥ 13 mm in men and ≥ 12 mm in women, and more than 50% greater than the thickness of the septum at its mid-distal-point
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4495884/

Dynamic obstruction may also occur in elderly patients with concentric left ventricular hypertrophy (LVH) due to chronic hypertension; in these patients the aorta shifts to the right creating a basal interventricular septal bulge. This septal bulge can cause SAM of the anterior mitral valve into the LVOT resulting in dynamic LVOT obstruction.
https://www.google.es/url?sa=t&source=web&rct=j&url=http://w...
Selected response from:

Chema Nieto Castañón
Spain
Local time: 08:16
Grading comment
Thanks Chema, I'm still not 100% sure, but you've been a great help.
4 KudoZ points were awarded for this answer



Summary of answers provided
3ventricular septal bulge
Chema Nieto Castañón


Discussion entries: 15





  

Answers


43 mins   confidence: Answerer confidence 3/5Answerer confidence 3/5
ventricular septal bulge


Explanation:
Hola Neil,
Diría que rodete septal en tu contexto se refiere específicamente al segmento subaórtico del septo interventricular, referido habitualmente en inglés como ventricular septal bulge.

La hipertrofia localizada del segmento subaórtico del septo interventricular (rodete septal o septo sigmoideo) es un hallazgo habitual en estudios de imagen que con frecuencia ha sido descrito en población de edad avanzada. 
https://www.cardioteca.com/cardiologia-clinica-blog/147-card...

A localized hypertrophy of the subaortic segment of the ventricular septum - ventricular septal bulge (VSB) - has been frequently described in series of elderly persons
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4495884/

Distinguishing ventricular septal bulge versus hypertrophic cardiomyopathy in the elderly
https://heart.bmj.com/content/102/14/1087


--------------------------------------------------
Note added at 1 hr (2019-02-05 16:08:45 GMT)
--------------------------------------------------

El estudio con Cardio TC debe incluir los siguientes parámetros:
-Evaluación de la válvula aórtica (...)
- Evaluación del tracto de salida
• Se debe notificar la presencia de rodete septal basal importante que pueda interferir con el despliegue de la válvula.
https://www.google.es/url?sa=t&source=web&rct=j&url=https://...

se debe valorar por ecocardiograía la existencia de hipertrofia septal, dado que en los casos con rodete septal severo existe el riesgo de desplazamiento anterógrado de la válvula.
http://dehesa.unex.es/bitstream/handle/10662/6169/TDUEX_2017...

A localized hypertrophy of the subaortic segment of the ventricular septum has been frequently described in elderly persons, and variously termed subaortic ventricular septal bulge (VSB), sigmoid-shaped septum, localized or discrete upper septal hypertrophy. It has been considered mainly as an incidental finding associated with older age and hypertension, although some authors have suggested that it may be part of the spectrum of hypertrophic cardiomyopathy, may determine some degree of left ventricular (LV) obstruction, which in turn may potentially cause symptoms such as syncope and dyspnea on effort
(...)
According to a combination of criteria applied in previous studies, the presence of subaortic VSB was defined as a proximal focal area (within the first third of total septal length) of localized septal hypertrophy with a dune-like structure protruding in the LVOT, a thickness ≥ 13 mm in men and ≥ 12 mm in women, and more than 50% greater than the thickness of the septum at its mid-distal-point
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4495884/

Dynamic obstruction may also occur in elderly patients with concentric left ventricular hypertrophy (LVH) due to chronic hypertension; in these patients the aorta shifts to the right creating a basal interventricular septal bulge. This septal bulge can cause SAM of the anterior mitral valve into the LVOT resulting in dynamic LVOT obstruction.
https://www.google.es/url?sa=t&source=web&rct=j&url=http://w...

Chema Nieto Castañón
Spain
Local time: 08:16
Specializes in field
Native speaker of: Native in SpanishSpanish
PRO pts in category: 95
Grading comment
Thanks Chema, I'm still not 100% sure, but you've been a great help.
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