Feb 5, 2019 14:36
5 yrs ago
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Spanish term
Spain
DrNeil TechTrans, Precision & Clarity
Native in: English
Works in: Spanish to English, English
rodete septal basal
Spanish to English
Medical
Medical: Cardiology
Echocardiogram
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"
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"
Proposed translations
(English)
| 3 | ventricular septal bulge |
Chema Nieto Castañón
|
Proposed translations
43 mins
Chema Nieto Castañón
Spain
Spain
Native in Spanish
Specializes in field
Spain
Psychologist & Emergency Physician
Native in: Spanish (Variant: Standard-Spain) 
Works in: English to Spanish
Related KudoZ points
:
95
Selected
ventricular septal bulge
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...
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...
4 KudoZ points awarded for this answer.
Comment: "Thanks Chema, I'm still not 100% sure, but you've been a great help."
Discussion
Pej., en referencias previas;
Distinguishing ventricular septal bulge versus hypertrophic cardiomyopathy
O también;
An isolated hypertrophy of the basal segment of the interventricular septum protruding into the outflow tract of the left ventricle (LV), named ventricular septal bulge (VSB), (...)
Este VSB (rodete septal o septo sigmoideo) aludiría así a una hipertrofia, mayor o menor pero aislada de un segmento particular del septo interventricular, mientras que en la miocardiopatía hipertrófica se observa un aumento de volumen más generalizado (versus aislado).
En todo caso, concuerdo en que particularmente aquí, con la referencia explícita a los 13 mm, se trataría en todo caso de una discreta [mild/discrete] hipertrofia.
Y vaya, dejo ya de dar la vara con este tema ;)
¡Saludos, Neil!
sigmoid septum, ventricular septal bulge, upper septal hypertrophy, basal ventricular septal hypertrophy... As far as I understand, and in spite of the apparent differences, they all convey the idea of rodete septal / septo sigmoideo / hipertrofia del segmento subaórtico del septo interventricular. Diameter though does not convey the idea of (discrete) hypertrophy that the original seems to be trying to express.
La hipertrofia localizada del segmento subaórtico del septo interventricular (rodete septal o septo sigmoideo)...
https://www.cardioteca.com/cardiologia-clinica-blog/147-card...
Ver también, por ejemplo,
basal septal hypertrophy (BSH)
Variably termed ‘discrete upper septal hypertrophy’ or ‘sigmoid septum’, BSH subsequently came to be investigated as...
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3941097/
El septo sigmoideo (hipertrofia focal y aislada del septo interventricular basal≥13mm en hombres y ≥2mm en mujeres, que supera en≥50% al grosor del septo medio)
http://www.elsevier.es/es-revista-archivos-cardiologia-mexic...
En tanto que tal (referido a un septo interventricular basal hipertrófico), creo que la denominación habitual es la expresada en respuesta, aunque como sugerido en los propios enlaces existen diversas denominaciones, también en inglés.
En todo caso, la potencial confusión es que el original "rodete" alude a una hipertrofia, en este caso del septo interventricular, y en concreto de su porción subaórtica (basal).
by M Lu - 2012 - Cited by 28 - Related articles
18 Dec 2012 - patients with previous septal ablation or myectomy. ..... LGE (A) shows mild halo-like enhancement (black open arrow) at the basal segment of.
have you also looked into "halo"?
Rodete can also = doughnut-shaped
27 Mar 2018 - Find out how aortic valve repair and aortic valve replacement can treat aortic ... or through minimally invasive methods that involve smaller incisions in the chest ... Tightening or reinforcing the ring around a valve (annulus) by ...
Claudia Blandenier Bosson de Suárez - 1998 - Cardiovascular system
Sin embargo, la desproporción ventricular septal ha sido descrita en niños con ... caracterizadas por un rodete o anillo circunferencial situado en el plano del ...