| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
The Journal of Thoracic and Cardiovascular Surgery, Vol 74, 362-371, Copyright © 1977 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
DB Doty, DB Polansky and CB Jenson
Enlargement of the aorta with a diamond-shaped patch of the noncoronary
sinus of Valsalva may not be sufficient in severe cases of supravalvular
aortic stenosis. This traditional reconstruction is asymmetric, and, if the
fibrous supravalvular ring is thick and rigid, the aorta may not open wide
with patch angioplasty, so that aortic obstruction may remain. Also,
because aortic valve function may not be perfect after asymmetric
reconstruction, there may be aortic valve incompetence or obstruction of
coronary ostia by the valve cusps. A new reconstructive operation was
designed and used in eight patients. All survived and are asymptomatic. The
aortoplasty was extended so that the supravalvular ring was incised at two
points in the noncoronary and in the right coronary sinuses of Valsalva.
The area of stenosis was opened wide, and the cusps of the aortic valve
were lengthened, which provided better approximation and function. A
tubular Dacron prosthesis, tailored to reconstruct the aorta, provided a
wide aortic cross- sectional area. This technique of extended aortoplasty
for symmetric reconstruction of the aorta should provide more predictable
relief of aortic obstruction and improved function of the aortic valve.
ARTICLES
Supravalvular aortic stenosis. Repair by extended aortoplasty
This article has been cited by other articles:
|
|
 |
|
  T. B. Albacker, D. M. Payne, A. Dancea, and C. Tchervenkov Management of supravalvar aortic stenosis and severely depressed left ventricular function in a neonate with Williams syndrome Eur. J. Cardiothorac. Surg., May 1, 2009; 35(5): 915 - 916. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. J. Scott, D. N. Campbell, D. R. Clarke, S. P. Goldberg, D. R. Karlin, and M. B. Mitchell Twenty-year surgical experience with congenital supravalvar aortic stenosis. Ann. Thorac. Surg., May 1, 2009; 87(5): 1501 - 1508. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. Arnaiz, D. Koolbergen, A. Adsuar, and M. G. Hazekamp Surgery for supravalvular aortic stenosis - the three-patch technique MMCTS, September 15, 2008; 2008(0915): 2329. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Seo, H. Shin, J. Park, T. Yun, I. Park, J. Ko, and Y. Kim Modified Simple Sliding Aortoplasty for Supravalvar Aortic Stenosis Ann. Thorac. Surg., June 1, 2007; 83(6): 2248 - 2250. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. A.G. Solomon, K. A. Finucane, J. R. Skinner, and A. Kerr Mild Supravalvular Aortic Stenosis With Left Coronary Obstruction in a Neonate Ann. Thorac. Surg., June 1, 2005; 79(6): 2153 - 2155. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. W. Brown, M. Ruzmetov, P. Vijay, and M. W. Turrentine Surgical repair of congenital supravalvular aortic stenosis in children Eur. J. Cardiothorac. Surg., January 1, 2002; 21(1): 50 - 56. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Stamm, I. Friehs, S. Y. Ho, A. M. Moran, R. A. Jonas, and P. J. del Nido Congenital supravalvar aortic stenosis: a simple lesion? Eur. J. Cardiothorac. Surg., February 1, 2001; 19(2): 195 - 202. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. A. Thistlethwaite, M. M. Madani, J. M. Kriett, K. Milhoan, and S. W. Jamieson Surgical management of congenital obstruction of the left main coronary artery with supravalvular aortic stenosis J. Thorac. Cardiovasc. Surg., December 1, 2000; 120(6): 1040 - 1046. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. B. McElhinney, E. Petrossian, W. Tworetzky, N. H. Silverman, and F. L. Hanley Issues and outcomes in the management of supravalvar aortic stenosis Ann. Thorac. Surg., February 1, 2000; 69(2): 562 - 567. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Stamm, C. Kreutzer, D. Zurakowski, G. Nollert, I. Friehs, J. E. Mayer, R. A. Jonas, and P. J. del Nido FORTY-ONE YEARS OF SURGICAL EXPERIENCE WITH CONGENITAL SUPRAVALVULAR AORTIC STENOSIS J. Thorac. Cardiovasc. Surg., November 1, 1999; 118(5): 874 - 885. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. G. Hazekamp, A.-P. Kappetein, P. H. Schoof, J. Ottenkamp, M. Witsenburg, H. A. Huysmans, and A. J. J. C. Bogers BROM’S THREE-PATCH TECHNIQUE FOR REPAIR OF SUPRAVALVULAR AORTIC STENOSIS J. Thorac. Cardiovasc. Surg., August 1, 1999; 118(2): 252 - 258. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Shin, T. Katogi, R. Yozu, and S. Kawada Surgical angioplasty of left main coronary stenosis complicating supravalvular aortic stenosis Ann. Thorac. Surg., April 1, 1999; 67(4): 1147 - 1148. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. E. Delius, M. M. Samyn, and D. M. Behrendt Should a bicuspid aortic valve be replaced in the presence of subvalvar or supravalvar aortic stenosis? Ann. Thorac. Surg., October 1, 1998; 66(4): 1337 - 1342. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Z. Al-Halees, G. Prabhakar, and O. Galal Reconstruction of Supravalvar Aortic Stenosis With Autologous Pulmonary Artery Ann. Thorac. Surg., February 1, 1998; 65(2): 532 - 532. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. B. Steinberg, R. E. Delius, and D. M. Behrendt Supravalvular Aortic Stenosis: A Modification of Extended Aortoplasty Ann. Thorac. Surg., January 1, 1998; 65(1): 277 - 277. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Stamm, J. Li, S. Y. Ho, A. N. Redington, and R. H. Anderson THE AORTIC ROOT IN SUPRAVALVULAR AORTIC STENOSIS: THE POTENTIAL SURGICAL RELEVANCE OF MORPHOLOGIC FINDINGS J. Thorac. Cardiovasc. Surg., July 1, 1997; 114(1): 16 - 24. [Abstract] [Full Text]
|
|
|
|
|
|
J. A. M. van Son, V. M. Reddy, M. D. Black, H. Rajasinghe, G. S. Haas, and F. L. Hanley MORPHOLOGIC DETERMINANTS FAVORING SURGICAL AORTIC VALVULOPLASTY VERSUS PULMONARY AUTOGRAFT AORTIC VALVE REPLACEMENT IN CHILDREN J. Thorac. Cardiovasc. Surg., June 1, 1996; 111(6): 1149 - 1157. [Abstract] [Full Text]
|
|
|
|
|
|
T. A. Folliguet, L. Mace, P. Dervanian, A. Casasoprana, S. Magnier, and J.-Y. Neveux Surgical Treatment of Diffuse Supravalvar Aortic Stenosis Ann. Thorac. Surg., April 1, 1996; 61(4): 1251 - 1253. [Abstract] [Full Text]
|
|
|
|
|
|
J. A. M. van Son, W. D. Edwards, and G. K. Danielson Pathology of coronary arteries, myocardium, and great arteries in supravalvular aortic stenosisReport of five cases with implications for surgical treatment J. Thorac. Cardiovasc. Surg., July 1, 1994; 108(1): 21 - 28. [Abstract] [Full Text]
|
|
|
|
|
|
J. A. M. van Son, G. K. Danielson, F. J. Puga, H. V. Schaff, A. Rastogi, W. D. Edwards, and R. H. Feldt Supravalvular aortic stenosis: Long-term results of surgical treatment J. Thorac. Cardiovasc. Surg., January 1, 1994; 107(1): 103 - 115. [Abstract] [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
