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The Journal of Thoracic and Cardiovascular Surgery, Vol 105, 281-287, Copyright © 1993 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
JL Myers, JA Waldhausen, SE Cyran, MM Gleason, HS Weber and BG Baylen
Our experience with congenital supravalvular aortic stenosis dates from
1977 to 1991. Thirteen patients, aged 2 days to 38 years (mean 7.6 years,
median 3.8 years), had surgical repair of the lesion. The preoperative
peak-to-peak systolic gradients ranged from 25 to 110 mm Hg (mean 64 mm
Hg). Four patients had trace to mild aortic insufficiency. Surgical repair
was accomplished by several techniques that have evolved over time. There
was one death in a 2-day-old neonate who also had severe hypertrophic
cardiomyopathy. The 12 survivors had postoperative gradients of 0 to 30 mm
Hg (mean 10 mm Hg) in the supravalvular region. The mean reduction in
gradient was 48 mm Hg. A new technique employing all autologous aortic
tissue is described.
ARTICLES
Results of surgical repair of congenital supravalvular aortic stenosis
Division of Cardiothoracic Surgery, Penn State University Children's Hospital, College of Medicine, Milton S. Hershey Medical Center, Hershey, PA 17033.
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